Active NPI
Marshae Anderson
- Counselor
- Lincoln Park, MI
National Provider Identifier
1164885109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401017528
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017528 | MI | MD | Counselor |
| 6802088621 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dear Mind Counseling LLC | Current | 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.
-
- Mental Health Counselor
- Detroit, MI
- NPI 1871484295
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
- America'S Best Contacts and Eyeglasses
- American Home Health Care LLC
- American Indian Services, Inc.
- American Rehab Solutions, LLC
- And J Management Company LLC
- Apple Care LLC
- Applewood Nursing and Rehab Services
- Applewood Rehab and Nursing Center
- Arcadia Healthcare Solutions, Inc.
- Israel Armijo, D.M.D
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.