Individual provider Active NPI

Renay Maria Weiss-Stansell, L.L.P.C.

  • Counselor
  • Detroit, MI
National Provider Identifier
1225226731
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401010577 Issued in MI
Practice address
17141 Ryan Rd
Detroit, MI 48212-1112
Phone
(313) 369-1717
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401010577 MI Primary

Addresses

Primary practice location

17141 Ryan Rd
Detroit, MI 48212-1112

Mailing address

19613 Northridge Dr
Northville, MI 48167-2914
Phone (734) 276-2298

Other identifiers 1

IdentifierTypeStateIssuer
6401010577OtherMIDEPT. OF COMMUNITY HEALTH

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
6401010577MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1225226731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19613 NORTHRIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672914",
            "telephone_number": "734-276-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17141 RYAN RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121112",
            "telephone_number": "313-369-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS-STANSELL",
        "first_name": "RENAY",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "L.L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF COMMUNITY HEALTH",
            "identifier": "6401010577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.