Individual provider Active NPI

Rhiannon Joy Serrurier, CRC, LLPC

  • Counselor
  • Clarkston, MI
National Provider Identifier
1073228128
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451023008 Issued in MI
Practice address
5710 Bella Rosa Blvd
Clarkston, MI 48348-4773
Phone
(248) 657-4639
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451023008 MI Primary

Addresses

Primary practice location

5710 Bella Rosa Blvd
Clarkston, MI 48348-4773

Mailing address

14040 Fish Lake Rd
Holly, MI 48442-8306
Phone (815) 302-3778

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451023008MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC PastSince Oct 14, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1073228128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 FISH LAKE RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428306",
            "telephone_number": "815-302-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 BELLA ROSA BLVD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484773",
            "telephone_number": "248-657-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRURIER",
        "first_name": "RHIANNON",
        "middle_name": "JOY",
        "credential": "CRC, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.