Individual provider Active NPI

Connie Lorraine Akins, M.A.

  • Professional Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1093034548
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401001985 Issued in MI
Practice address
7330 Deep Run
1523
Bloomfield Hills, MI 48301-3827
Phone
(734) 347-8684
NPI assigned
May 24, 2010
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-01837 MI
Professional Counselor 101YP2500X 6401001985 MI Primary
School Counselor 101YS0200X SC0000595 MI

Addresses

Primary practice location

7330 Deep Run
1523
Bloomfield Hills, MI 48301-3827

Mailing address

7330 Deep Run
1523
Bloomfield Hills, MI 48301-3827
Phone (734) 347-8684

Other names 1

  • Connie Lorraine Garrison Former name

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
C-01837MIMDAddiction (Substance Use Disorder) Counselor
6401001985MIMDProfessional Counselor
SC0000595MIMDSchool Counselor

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1093034548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 DEEP RUN",
            "address_2": "1523",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013827",
            "telephone_number": "734-347-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 DEEP RUN",
            "address_2": "1523",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013827",
            "telephone_number": "734-347-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINS",
        "first_name": "CONNIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01837",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401001985",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "GARRISON",
            "middle_name": "LORRAINE",
            "credential": "M.A. , LPC, CAAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.