Active NPI
Sharon Windfrey, PH.D.
- Professional Counselor
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 17348 W. 12 Mile Rd
Suite 106
Southfield, MI 48076-2511 - Phone
- (888) 492-9386
- Fax
- (888) 492-9386
- NPI assigned
- Mar 26, 2008
- Last updated
- May 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6401005866 | MI | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
17348 W. 12 Mile Rd
Suite 106
Southfield, MI 48076-2511
Mailing address
PO Box 760224
Lathrup Village, MI 48076-2511
Phone (248) 891-9094
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Solutions PLLC | Counseling | Current | Accepting new patients |
| Evolutionary Intervention LLC | Professional | Current | Accepting new patients |
Locations
30700 Telegraph Rd
Ste 3450
Bingham Farms, MI 48025
Phone (248) 440-1301
31811 Middlebelt Rd
Ste 203
Farmington Hills, MI 48334
Phone (248) 559-3359
17348 W 12 Mile Rd
Ste 106
Southfield, MI 48076
Phone (313) 917-7979
18481 W 10 Mile Rd
Ste 101
Southfield, MI 48075
Phone (888) 492-9386
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Southfield, MI
- NPI 1679846505
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1245402668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760224",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "480762511",
"telephone_number": "248-891-9094",
"fax_number": "888-492-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17348 W. 12 MILE RD",
"address_2": "SUITE 106",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762511",
"telephone_number": "888-492-9386",
"fax_number": "888-492-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDFREY",
"first_name": "SHARON",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6401005866",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 20, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.