Active NPI
Nicole Marie Droomer, L.L.M.S.W.
- Addiction (Substance Use Disorder) Counselor
- Flint, MI
National Provider Identifier
1194174300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6801099409
- Practice address
- 765 E Hamilton Ave
Flint, MI 48505-4707 - Phone
- (810) 233-5340
- Fax
- (810) 233-3565
- NPI assigned
- Jun 8, 2016
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6801099409 | MI | Primary |
Addresses
Primary practice location
765 E Hamilton Ave
Flint, MI 48505-4707
Mailing address
765 E Hamilton Ave
Flint, MI 48505-4707
Phone (810) 233-5340
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801099409 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1194174300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 E HAMILTON AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485054707",
"telephone_number": "810-233-5340",
"fax_number": "810-233-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 E HAMILTON AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485054707",
"telephone_number": "810-233-5340",
"fax_number": "810-233-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROOMER",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.L.M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6801099409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.