Individual provider Active NPI

Roxanne Mitchell, MS, LPC

  • Counselor
  • Auburn Hills, MI
National Provider Identifier
1265817555
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401018242 Issued in MI
Practice address
1814 Pond Run
Auburn Hills, MI 48326-2768
Phone
(248) 340-0559
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6401014385 MI
Counselor 101Y00000X 6401018242 MI Primary

Addresses

Primary practice location

1814 Pond Run
Auburn Hills, MI 48326-2768

Mailing address

162 Lois LN
Mount Clemens, MI 48043-2243
Phone (810) 335-5029

Other practice location 1

26300 Outer Dr
Lincoln Park, MI 48146-2019
Phone (734) 785-7700

Other identifiers 1

IdentifierTypeStateIssuer
386004868MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
6401018242MIMDCounselor
6401014385MIMDPoint of Service

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth and Associates PC CurrentSince Jan 23, 2025 Accepting new patients

Locations

11111 Hall Rd
Ste 303
Utica, MI 48317
Phone (586) 739-0902

11111 Hall Rd
Ste 300
Utica, MI 48317
Phone (586) 323-2181

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1265817555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LOIS LN",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432243",
            "telephone_number": "810-335-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 POND RUN",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262768",
            "telephone_number": "248-340-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26300 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481462019",
            "country_code": "US",
            "telephone_number": "734-785-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROXANNE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "6401014385",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386004868",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.