Anahid Lisa Derbabian, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401010040 Issued in MI

Practice address

43902 Woodward Ave
Bloomfield Township, MI 48302-5011

Phone

(248) 338-1700

NPI assigned

Feb 21, 2007

Sex

Female

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

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anahid Lisa Derbabian LPC PLLC

  • Mental Health Counselor
  • Troy, MI
  • NPI 1902645898
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245375922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 HENRIETTA ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094115",
            "telephone_number": "248-202-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025011",
            "telephone_number": "248-338-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBABIAN",
        "first_name": "ANAHID",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Brantley, LMSW
• Jacob David Brockert, DPT
• Christine E. Fisk Ms LLP PLLC
• Alexandra J Colvard, LPC
• Costco Wholesale Corporation
• Amber Donahue, LMSW
• Dr. James Herman, P.L.L.C
• Tara Maher Elia, MD
• Suzanne Berri Fellows, PA-C, NBC-HWC
• Christine Elizabeth Fisk, MS LLP

• Mental Health Counselor in Bloomfield Township, MI
• Providers in Bloomfield Township, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.