Individual provider Active NPI

Denise Mosby Lewis, MA, LPC

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1215674312
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222644 Issued in MI
Practice address
24681 Northwestern Hwy Ste 3014
Southfield, MI 48075-2305
Phone
(313) 870-9790
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401222644 MI Primary

Addresses

Primary practice location

24681 Northwestern Hwy Ste 3014
Southfield, MI 48075-2305

Mailing address

7441 Poe St
Detroit, MI 48206-2632
Phone (313) 870-9790

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401222644MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Front Line Counseling Services, PLLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

24681 Northwestern Hwy
Ste 3014
Southfield, MI 48075
Phone (248) 509-2222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1215674312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 POE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062632",
            "telephone_number": "313-870-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24681 NORTHWESTERN HWY STE 3014",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752305",
            "telephone_number": "313-870-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY LEWIS",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222644",
            "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 19, 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.