Individual provider Active NPI

Elizabeth Germaine

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1053905075
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212
Phone
(248) 258-0440
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 Primary

Addresses

Primary practice location

24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212

Mailing address

24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212
Phone (248) 258-0440

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orchards Children's Services, Inc. CurrentSince Apr 20, 2021 Accepting new patients
The New Foster Care Inc Counselor CurrentSince Jun 16, 2024 Accepting new patients
Orchards Children's Services, Inc CurrentSince Apr 20, 2021 Accepting new patients

Locations

1995 Highland Dr
Ste F
Ann Arbor, MI 48108
Phone (248) 365-8425

1615 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (810) 836-6380

24901 Northwestern Hwy
Ste 500
Southfield, MI 48075
Phone (248) 258-0440

Organizations & group practices 3

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1053905075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752212",
            "telephone_number": "248-258-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752212",
            "telephone_number": "248-258-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAINE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.