Individual provider Active NPI

Marlaina C Desrosiers, LLPC

  • Mental Health Counselor
  • Clinton Township, MI
National Provider Identifier
1164529731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401010018 Issued in MI
Practice address
24401 Capital Blvd
Clinton Township, MI 48036-1343
Phone
(586) 783-2950
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6401010018 MI Primary

Addresses

Primary practice location

24401 Capital Blvd
Clinton Township, MI 48036-1343

Mailing address

24401 Capital Blvd
Clinton Township, MI 48036-1343
Phone (586) 783-2950

Other identifiers 2

IdentifierTypeStateIssuer
537803OtherMIVALUE OPTIONS
139863SWOtherMICARE CHOICES

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

LicenseStateTypeSpecialty
6401010018MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Christian Counseling Inc Mental Health PastSince Nov 16, 2005 Accepting new patients
New Day Counseling Mental Health Past Accepting new patients

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164529731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CAPITAL BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361343",
            "telephone_number": "586-783-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CAPITAL BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361343",
            "telephone_number": "586-783-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "MARLAINA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "537803",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "139863SW",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.