Individual provider Active NPI

Heidi Doran, LMFT, LLP, LLPC

  • Psychologist
  • Rochester, MI
National Provider Identifier
1104099696
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361004204 Issued in MI
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

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102002438 MI Practitioner - Psychologist Billing Independently 0446740369 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6451022146MIMDMental Health Counselor
6361004204MIMDPsychologist
4101007252MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Therapy Center PLLC Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Tree of Life Counseling Services LLC PastSince Aug 1, 2022 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.

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

Verify at the official NPI Registry.