Individual provider Active NPI

Barbra Thressa Gumn-Whiters, MA, LLPC, CAADC

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1114199502
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401010277 Issued in MI
Practice address
18284 James Couzens Fwy
Detroit, MI 48235-2503
Phone
(313) 646-6483
Fax
(313) 646-6578
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401010277 MI Primary

Addresses

Primary practice location

18284 James Couzens Fwy
Detroit, MI 48235-2503

Mailing address

18284 James Couzens Fwy
Detroit, MI 48235-2503
Phone (313) 646-6483

Other practice location 1

18496 Sussex St
Detroit, MI 48235-2836
Phone (313) 874-8715

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
6401010277MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Hope & Love Outreach Center Inc Mental Health CurrentSince Jun 28, 2020 Accepting new patients

Locations

18284 James Couzens Fwy
Detroit, MI 48235
Phone (313) 646-6256

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1114199502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18284 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352503",
            "telephone_number": "313-646-6483",
            "fax_number": "313-646-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18284 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352503",
            "telephone_number": "313-646-6483",
            "fax_number": "313-646-6578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18496 Sussex St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352836",
            "country_code": "US",
            "telephone_number": "313-874-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMN-WHITERS",
        "first_name": "BARBRA",
        "middle_name": "THRESSA",
        "credential": "MA, LLPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.