Active NPI
Heidi Doran, LMFT, LLP, LLPC
- Psychologist
- Rochester, MI
National Provider Identifier
1104099696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361004204
- Practice address
- 71 Walnut Blvd Ste 109
Rochester, MI 48307-2073 - Phone
- (231) 794-1447
- NPI assigned
- Apr 7, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101007252 | MI | |
| Psychologist | 103T00000X | 6361004204 | MI | Primary |
| Mental Health Counselor | 101YM0800X | 6451022146 | MI |
Addresses
Primary practice location
71 Walnut Blvd Ste 109
Rochester, MI 48307-2073
Mailing address
1299 Lamplighter LN
Rochester Hills, MI 48306-4239
Phone (248) 505-6289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4647 W Cedar Lake Rd
Greenbush, MI 48738-9716
71 Walnut Blvd
Suite 109
Rochester, MI 48307-2073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022146 | MI | MD | Mental Health Counselor |
| 6361004204 | MI | MD | Psychologist |
| 4101007252 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walnut Therapy Center PLLC | Mental Health | Current | Accepting new patients |
| Tree of Life Counseling Services LLC | Past | Accepting new patients |
Locations
71 Walnut Blvd
Ste 109
Rochester, MI 48307
Phone (248) 505-6289
Organizations & group practices 2
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.
-
- Professional Counselor
- Rochester Hills, MI
- NPI 1023537495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1104099696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 LAMPLIGHTER LN",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483064239",
"telephone_number": "248-505-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 WALNUT BLVD STE 109",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483072073",
"telephone_number": "231-794-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "HEIDI",
"credential": "LMFT, LLP, LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101007252",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361004204",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451022146",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.