Jerome Anthony Thues Sr., M.A.LLPC.ED.SPEC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401006154 Issued in MI

Practice address

18004 Wildemere St
Detroit, MI 48221-2729

Phone

(313) 863-2450

NPI assigned

Jan 6, 2009

Last updated

Jan 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1225274673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28388 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345503",
            "telephone_number": "313-615-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18004 WILDEMERE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212729",
            "telephone_number": "313-863-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUES",
        "first_name": "JEROME",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.A.LLPC.ED.SPEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.