Individual provider Active NPI

Marshae Anderson

  • Counselor
  • Lincoln Park, MI
National Provider Identifier
1164885109
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017528 Issued in MI
Practice address
26300 Outer Dr
Lincoln Park, MI 48146-2019
Phone
(734) 530-8697
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6802088621 MI
Counselor 101Y00000X 6401017528 MI Primary

Addresses

Primary practice location

26300 Outer Dr
Lincoln Park, MI 48146-2019

Mailing address

16606 Greenview Ave
Detroit, MI 48219-4173
Phone (313) 471-8180

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marshaeanderson@iamtgc.net

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
6401017528MIMDCounselor
6802088621MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dear Mind Counseling LLC CurrentSince Jul 22, 2025 Accepting new patients

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1164885109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16606 GREENVIEW AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194173",
            "telephone_number": "313-471-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462019",
            "telephone_number": "734-530-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARSHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802088621",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marshaeanderson@iamtgc.net",
            "affiliation": "N",
            "address_1": "26300 Outer Dr",
            "city": "Lincoln Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481462019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.