Active NPI
Samantha Arlena-Nicole Mitchell, LLMFT
- Marriage & Family Therapist
- Detroit, MI
National Provider Identifier
1043782725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4151001048
- Practice address
- 17321 Telegraph Rd
Detroit, MI 48219-3132 - Phone
- (313) 531-2500
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4151001048 | MI | Primary |
Addresses
Primary practice location
17321 Telegraph Rd
Detroit, MI 48219-3132
Mailing address
17321 Telegraph Rd
Detroit, MI 48219-3132
Phone (313) 531-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4151001048 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1043782725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17321 TELEGRAPH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193132",
"telephone_number": "313-531-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17321 TELEGRAPH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193132",
"telephone_number": "313-531-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SAMANTHA",
"middle_name": "ARLENA-NICOLE",
"credential": "LLMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4151001048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.