Active NPI
Menachem Roetter
- Counselor
- Melvindale, MI
National Provider Identifier
1023922291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451025260
- Practice address
- 17461 Allen Rd
Melvindale, MI 48122-1026 - Phone
- (313) 920-8771
- Fax
- (949) 561-4887
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451025260 | MI | Primary |
Addresses
Primary practice location
17461 Allen Rd
Melvindale, MI 48122-1026
Mailing address
17461 Allen Rd
Melvindale, MI 48122-1026
Phone (313) 920-8771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1023922291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17461 ALLEN RD",
"city": "MELVINDALE",
"state": "MI",
"postal_code": "481221026",
"telephone_number": "313-920-8771",
"fax_number": "949-561-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17461 ALLEN RD",
"city": "MELVINDALE",
"state": "MI",
"postal_code": "481221026",
"telephone_number": "313-920-8771",
"fax_number": "949-561-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROETTER",
"first_name": "MENACHEM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451025260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melvindale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.