Active NPI
Emily Claire Perraut, LLP
- Addiction (Substance Use Disorder) Counselor
- Ferndale, MI
National Provider Identifier
1154608347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6301014990
- Practice address
- 23231 Woodward Ave
Ferndale, MI 48220-1361 - Phone
- (248) 581-8777
- NPI assigned
- Nov 16, 2011
- Last updated
- May 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6301014990 | MI | Primary |
Addresses
Primary practice location
23231 Woodward Ave
Ferndale, MI 48220-1361
Mailing address
400 Stoddard Rd
Richmond, MI 48062-2505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014990 | MI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairsky Foundation | Clinical | Current | Accepting new patients |
Locations
23231 Woodward Ave
Ferndale, MI 48220
Phone (248) 565-6556
464 N Main St
Plymouth, MI 48170
Phone (734) 255-3439
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": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1154608347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 STODDARD RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480622505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23231 WOODWARD AVE",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201361",
"telephone_number": "248-581-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRAUT",
"first_name": "EMILY",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6301014990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.