Individual provider Active NPI

Richard Thomas Janka, PSY.D.

  • Counseling Psychologist
  • Plymouth, MI
National Provider Identifier
1215114095
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301015332 Issued in MI
Practice address
41100 Plymouth Rd Ste 110
Plymouth, MI 48170-3895
Phone
(734) 927-1201
Fax
(734) 927-1203
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301015332 MI Primary

Addresses

Primary practice location

41100 Plymouth Rd Ste 110
Plymouth, MI 48170-3895

Mailing address

41100 Plymouth Rd Ste 110
Plymouth, MI 48170-3895
Phone (734) 927-1201

Other practice location 1

2000 Grand River Anx Ste 400
Brighton, MI 48114-3801
Phone (734) 927-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423000507 MI Practitioner - Clinical Psychologist 8123250412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solid Ground Counseling PLLCGroup PAC ID 7416189709, 4 clinicians

Practice addresses (Care Compare)

41100 Plymouth Rd
Suite 110
Plymouth, MI 48170-3895
Phone (734) 927-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013595MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling, PLLC Counseling Past Accepting new patients

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1215114095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41100 PLYMOUTH RD STE 110",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703895",
            "telephone_number": "734-927-1201",
            "fax_number": "734-927-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41100 PLYMOUTH RD STE 110",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703895",
            "telephone_number": "734-927-1201",
            "fax_number": "734-927-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Grand River Anx Ste 400",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481143801",
            "country_code": "US",
            "telephone_number": "734-927-1201",
            "fax_number": "734-927-1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANKA",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.