Individual provider Active NPI

Shelita D Richmond

  • Counselor
  • Detroit, MI
National Provider Identifier
1265608624
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401224730 Issued in MI
Practice address
18875 Rogge St
Detroit, MI 48234-3088
Phone
(313) 717-1761
NPI assigned
May 6, 2008
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 6401224730 MI Primary
Mental Health Counselor 101YM0800X 6401224730 MI

Addresses

Primary practice location

18875 Rogge St
Detroit, MI 48234-3088

Mailing address

18875 Rogge St
Detroit, MI 48234-3088
Phone (313) 717-1761

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
I20251217001425 MI Practitioner - Mental Health Counselor 8123376308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3067

1 Ford PL
Suite 3a
Detroit, MI 48202-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401224730MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System-School Based Health Initiative CurrentSince Dec 1, 2025 Accepting new patients
Adult & Senior Activity Program PastSince Jun 8, 2018 Accepting new patients
Alpha Family Counseling PC PastSince May 18, 2023 Accepting new patients

Locations

11600 E 7 Mile Rd
Detroit, MI 48205
Phone (313) 372-5974

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

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

Interoperability endpoints

  • Direct secure messaging: srichmond1149079@direct.hfhs.org

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1265608624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18875 ROGGE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343088",
            "telephone_number": "313-717-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18875 ROGGE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343088",
            "telephone_number": "313-717-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "SHELITA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401224730",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.