Individual provider Active NPI

Sheila Faye Brown-Burrell, LLPC; CAAC

  • Counselor
  • Canton, MI
National Provider Identifier
1235383605
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401008700 Issued in MI
Practice address
43825 Michigan Ave
Canton, MI 48188
Phone
(734) 397-3088
Fax
(734) 397-0078
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401008700 MI Primary

Addresses

Primary practice location

43825 Michigan Ave
Canton, MI 48188

Mailing address

16772 Pierson St.
Detroit, MI 48219
Phone (313) 522-8275

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
I20240419000875 MI Practitioner - Mental Health Counselor 1759720055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Challenge of Southeastern MichiganGroup PAC ID 3072944743, 4 clinicians

Practice addresses (Care Compare)

17667 Pierson St
Detroit, MI 48219-2520
Phone (313) 531-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008700MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Challenge of Southeastern Michigan CurrentSince Mar 16, 2024 Accepting new patients
Encouragement for Change Past Accepting new patients
Associated Radiologists of Inverness PA Past Accepting new patients
Successful Adults in Transition PLLC PastSince Oct 29, 2022 Accepting new patients

Organizations & group practices 4

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1235383605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 PIERSON ST.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48219",
            "telephone_number": "313-522-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43825 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-397-3088",
            "fax_number": "734-397-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BURRELL",
        "first_name": "SHEILA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "LLPC; CAAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.