Individual provider Active NPI

Janis Alousi, MA, LPC, NCC

  • Professional Counselor
  • Plymouth, MI
National Provider Identifier
1033733993
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008420 Issued in MI
Practice address
705 S Main St Ste 280
Plymouth, MI 48170-1060
Phone
(734) 454-3560
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 03238
Professional Counselor 101YP2500X 6401008420 MI Primary

Addresses

Primary practice location

705 S Main St Ste 280
Plymouth, MI 48170-1060

Mailing address

2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909

Other names 1

  • Janis Roese Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001280 MI Practitioner - Mental Health Counselor 3173974714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephanie Williams, PHD, LP, PLLCGroup PAC ID 8527191535, 5 clinicians

Practice addresses (Care Compare)

901 Livernois St
Ferndale, MI 48220-2319
Phone (248) 996-7451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401008420MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Williams, PHD, LP, PLLC CurrentSince Sep 19, 2024 Accepting new patients
Nicole Reynolds PSYD LLC Past Accepting new patients

Locations

901 Livernois St
Ferndale, MI 48220
Phone (248) 259-1991

39319 Plymouth Rd
Ste 2
Livonia, MI 48150
Phone (248) 259-1991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1033733993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD STE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 280",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701060",
            "telephone_number": "734-454-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOUSI",
        "first_name": "JANIS",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "03238",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "ROESE",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.