Individual provider Active NPI

Vivianna Rubles, LLPC

  • Mental Health Counselor
  • Clarkston, MI
National Provider Identifier
1255088282
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451021955 Issued in MI
Practice address
6770 Dixie Hwy Ste 103
Clarkston, MI 48346-2088
Phone
(248) 922-7726
Fax
(248) 856-1492
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451021955 MI Primary

Addresses

Primary practice location

6770 Dixie Hwy Ste 103
Clarkston, MI 48346-2088

Mailing address

25387 Witherspoon St
Farmington Hills, MI 48335-1367
Phone (248) 505-0910

Other practice location 1

4512 Dixie Hwy
Waterford, MI 48329-3514
Phone (248) 909-1869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6451021955MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Solutions Counseling Center Mental Health CurrentSince Mar 1, 2022 Accepting new patients

Locations

4512 Dixie Hwy
Waterford, MI 48329
Phone (248) 909-1869

Organizations & group practices 1

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1255088282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25387 WITHERSPOON ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351367",
            "telephone_number": "248-505-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY STE 103",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462088",
            "telephone_number": "248-922-7726",
            "fax_number": "248-856-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4512 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483293514",
            "country_code": "US",
            "telephone_number": "248-909-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBLES",
        "first_name": "VIVIANNA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451021955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.