Individual provider Active NPI

Alice Raby

  • Counselor
  • Detroit, MI
National Provider Identifier
1245696137
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401004035 Issued in MI
Practice address
2251 Antietam Ave
Detroit, MI 48207-3879
Phone
(313) 878-3654
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401004035 MI Primary
Mental Health Counselor 101YM0800X 6401004035 MI

Addresses

Primary practice location

2251 Antietam Ave
Detroit, MI 48207-3879

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (248) 662-8912

Other practice location 1

9761 McKinney St
Detroit, MI 48224-2533
Phone (248) 662-8912

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
I20251114001291 MI Practitioner - Mental Health Counselor 1850882143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Wayne State University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28000 Dequindre Rd
Warren, MI 48092-2468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401004035MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System-School Based Health Initiative CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Health System Counselor CurrentSince Dec 13, 2025 Accepting new patients
Henry Ford Southeast Michigan Community Health CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Health System CurrentSince Dec 13, 2025 Accepting new patients
Henry Ford Southeast Michigan Community Health Counselor CurrentSince Oct 1, 2025 Accepting new patients

Locations

1726 Howard St
Detroit, MI 48216
Phone (313) 338-3740

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2251 Antietam Ave
Detroit, MI 48207
Phone (313) 818-3654

1000 Scotten St
Detroit, MI 48209
Phone (313) 457-2797

Organizations & group practices 5

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1245696137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "248-662-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 ANTIETAM AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073879",
            "telephone_number": "313-878-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9761 McKinney St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482242533",
            "country_code": "US",
            "telephone_number": "248-662-8912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABY",
        "first_name": "ALICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401004035",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401004035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.