Active NPI
Susan Kay Fitzsimonds, LPC
- Counselor
- Troy, MI
National Provider Identifier
1164762894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401010259
- Practice address
- 888 W Big Beaver Rd
Troy, MI 48084-4736 - Phone
- (248) 244-8644
- NPI assigned
- Feb 16, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401010259 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd
Troy, MI 48084-4736
Mailing address
28403 Seven Oaks Dr
Farmington Hills, MI 48331-3199
Phone (586) 634-5180
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 |
|---|---|---|---|
| 6401010259 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360972800000",
"number": "1164762894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28403 SEVEN OAKS DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313199",
"telephone_number": "586-634-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480844736",
"telephone_number": "248-244-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMONDS",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-16",
"last_updated": "2013-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401010259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.