Active NPI
Charles Ross Jr., M.A., L.L.P.C.
- Professional Counselor
- Detroit, MI
National Provider Identifier
1144634866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401013550
- Practice address
- 7310 Woodward Ave
Suite 601
Detroit, MI 48202-3165 - Phone
- (313) 896-1444
- Fax
- (313) 872-0804
- NPI assigned
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013550 | MI | Primary |
Addresses
Primary practice location
7310 Woodward Ave
Suite 601
Detroit, MI 48202-3165
Mailing address
7310 Woodward Ave
Suite 601
Detroit, MI 48202-3165
Phone (313) 896-1444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013550 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1144634866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 WOODWARD AVE",
"address_2": "SUITE 601",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023165",
"telephone_number": "313-896-1444",
"fax_number": "313-872-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 WOODWARD AVE",
"address_2": "SUITE 601",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023165",
"telephone_number": "313-896-1444",
"fax_number": "313-872-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.A., L.L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013550",
"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 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.