Individual provider Active NPI

Sarah Dorris, MA, LPC, CAADC

  • Professional Counselor
  • Harper Woods, MI
National Provider Identifier
1255680385
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013021 Issued in MI
Practice address
20303 Kelly Rd
Harper Woods, MI 48225-1206
Phone
(313) 245-7000
Fax
(313) 245-7009
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013021 MI Primary

Addresses

Primary practice location

20303 Kelly Rd
Harper Woods, MI 48225-1206

Mailing address

9844 Dixie Hwy
Ira, MI 48023-2813
Phone (586) 716-7600

Other practice location 1

9844 Dixie Hwy
Ira, MI 48023-2813
Phone (586) 716-7600

Other identifiers 1

IdentifierTypeStateIssuer
1255680385MedicaidMI

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
I20240104003527 MI Practitioner - Mental Health Counselor 6406207323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013021MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC CurrentSince Jan 1, 2024 Accepting new patients
Tahoma Enterprises LLC Past Accepting new patients
New Horizons Counseling Center PLLC PastSince Jul 24, 2022 Accepting new patients

Locations

915 Airport Rd
Ste 8
Jackson, MI 49202
Phone (517) 745-8682

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

Organizations & group practices 3

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255680385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 DIXIE HWY",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232813",
            "telephone_number": "586-716-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 KELLY RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-245-7000",
            "fax_number": "313-245-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9844 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Ira",
            "state": "MI",
            "postal_code": "480232813",
            "country_code": "US",
            "telephone_number": "586-716-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "SARAH",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255680385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

Verify at the official NPI Registry.