Real Impact Behavioral Health Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

REAL IMPACT BEHAVIORAL HEALTH CENTER

Practice address

29623 Northwestern Hwy Ste 6
Southfield, MI 48034-1076

Phone

(313) 920-9046

Fax

(313) 731-1991

NPI assigned

Apr 21, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothea Foster, LPCNPI 1063965432

Title

Ceo

Phone

(313) 920-9046

Specialties & licenses 7

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothea Foster

  • Professional Counselor
  • Southfield, MI
  • NPI 1063965432
  NPD Authorized official
• Frazier Davis

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
  • NPI 1184412520
  NPD (past)
• Stacey Foster

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
  • NPI 1730959511
  NPD (past)
• Emma Lee Hill

  • Counselor
  • Detroit, MI
  • NPI 1013640010
  NPD (past)
• James C Johnson, LLPC

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1073319216
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1184569659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 PINGREE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022024",
            "telephone_number": "313-920-9046",
            "fax_number": "313-731-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29623 NORTHWESTERN HWY STE 6",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341076",
            "telephone_number": "313-920-9046",
            "fax_number": "313-731-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 W Grand Blvd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023008",
            "country_code": "US",
            "telephone_number": "313-920-9046",
            "fax_number": "313-731-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAL IMPACT BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-920-9046",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad Raza, MD
• Abdul Rehman Razzaq, M.D.
• Mahwesh Razzaq, D.D.S
• RDS Connectinghearts
• Emma Read
• Real Perspective Counseling Agency
• Real Solutions Services
• Rebecca Williams MD PLC
• Rebirth Community Inclusion Program
• Sarah Recker

• Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.