Individual provider Active NPI

Felicicia McNeill

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1205311859
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019505 Issued in MI
Practice address
15900 W. 10 Mile Road
FL 2, Ste. 211
Southfield, MI 48075-2036
Phone
(248) 957-1722
NPI assigned
Sep 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Counselor 101Y00000X 6401016810 MI
School Counselor 101YS0200X 6401016810 MI
Professional Counselor 101YP2500X 6401019505 MI Primary

Addresses

Primary practice location

15900 W. 10 Mile Road
FL 2, Ste. 211
Southfield, MI 48075-2036

Mailing address

29155 Northwestern Hwy #780
Southfield, MI 48034-1011
Phone (313) 208-1656

Other practice location 1

22320 Cape Cod Way
Farmington Hills, MI 48336-4380
Phone (313) 208-1656

Other practice location 2

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535

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
6401019505MIMDProfessional Counselor
6401016810MIMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RDS Connectinghearts Professional Current Accepting new patients
The Children'S Center of Wayne Co., Inc. Past Accepting new patients

Locations

17515 W 9 Mile Rd
Ste 975
Southfield, MI 48075
Phone (248) 521-5051

Organizations & group practices 2

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": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1205311859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29155 NORTHWESTERN HWY #780",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341011",
            "telephone_number": "313-208-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W. 10 MILE ROAD",
            "address_2": "FL 2, STE. 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752036",
            "telephone_number": "248-957-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22320 Cape Cod Way",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483364380",
            "country_code": "US",
            "telephone_number": "313-208-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-831-5535",
            "fax_number": "313-831-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "FELICICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016810",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "6401016810",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.