Individual provider Active NPI

Melanie Elizabeth Bruss, MA, LPC

  • Professional Counselor
  • Troy, MI
National Provider Identifier
1053742379
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013782 Issued in MI
Practice address
2888 E Long Lake Rd Ste 170
Troy, MI 48085-7011
Phone
(248) 864-5858
NPI assigned
Dec 12, 2013
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013782 MI Primary

Addresses

Primary practice location

2888 E Long Lake Rd Ste 170
Troy, MI 48085-7011

Mailing address

7289 Edward
Center Line, MI 48015-1008
Phone (313) 775-9802

Other practice location 1

7060 McGraw St
Detroit, MI 48210
Phone (313) 896-2800 ext. 6423

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013782MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Christ Centered Counseling, LLC Current Accepting new patients

Locations

2888 E Long Lake Rd
Ste 170
Troy, MI 48085
Phone (248) 524-0050

3190 Rochester Rd
Ste 105
Troy, MI 48083
Phone (248) 834-3577

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1053742379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7289 EDWARD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151008",
            "telephone_number": "313-775-9802",
            "fax_number": "313-775-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD STE 170",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857011",
            "telephone_number": "248-864-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7060 McGraw St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48210",
            "country_code": "US",
            "telephone_number": "313-896-2800 x6423",
            "fax_number": "313-896-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSS",
        "first_name": "MELANIE",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.