MEDICARE: ANNELISE NEARON MA, LPC, ATR-P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist	23-405	MI
2	101Y00000X	Counselor	6401225487	MI

General Provider Information

NPI Number	:	1952173361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNELISE NEARON MA, LPC, ATR-P

Provider Business Mailing Address
First Line	:	23730 ROWE ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-1631
Country	:	US
Telephone Number	:	313-258-9455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 WALTON BLVD STE 60
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1729
Country	:	US
Telephone Number	:	248-608-4514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	04/06/2026

Similar Medicare Providers

1700248382 — MR. KEVIN BRADACS MA, LPC
Practice Location Address:

1460 WALTON BLVD STE 60
ROCHESTER HILLS, MI
48309-1729

Practice Phone: 248-608-4514
Practice Fax:

1851564496 — SHARLA KAY BUZA PT
Practice Location Address:

1460 WALTON BLVD STE 224
ROCHESTER HILLS, MI
48309-1729

Practice Phone: 586-274-6338
Practice Fax: 248-564-3243

1528352978 — PHARMACARE PHARMACY
Practice Location Address:

1460 WALTON BLVD STE 90
ROCHESTER HILLS, MI
48309-1729

Practice Phone: 248-601-7000
Practice Fax: 248-601-7800

1598121683 — DR. RONALD DALE RAMSEY LMFT
Practice Location Address:

1460 WALTON BLVD STE 224
ROCHESTER HILLS, MI
48309-1729

Practice Phone: 148-824-5276
Practice Fax:

1629520432 — TERESE COLASUONNO LPC
Practice Location Address:

1460 WALTON BLVD STE 50
ROCHESTER HILLS, MI
48309-1729

Practice Phone: 248-563-0154
Practice Fax: 866-745-6418

1285172338 — SHANNON RENE GORIS LPC
Practice Location Address:

1460 WALTON BLVD STE 60
ROCHESTER HILLS, MI
48309-1729

Practice Phone: 248-608-4514
Practice Fax:

Directions to “ ANNELISE NEARON MA, LPC, ATR-P” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.