Active NPI
Vivianna Rubles, LLPC
- Mental Health Counselor
- Clarkston, MI
National Provider Identifier
1255088282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451021955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451021955 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genuine Solutions Counseling Center | Mental Health | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Waterford, MI
- NPI 1588979876
Mental Health
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.