Individual provider Active NPI

Sharon Windfrey, PH.D.

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1245402668
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001209 MI Practitioner - Mental Health Counselor 2860803681 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Solutions PLLC Counseling CurrentSince Apr 14, 2024 Accepting new patients
Evolutionary Intervention LLC Professional CurrentSince Nov 6, 2015 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.

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

Verify at the official NPI Registry.