Organization Active NPI

Amira Doucette International LLC

  • Professional Counselor
  • West Bloomfield, MI
National Provider Identifier
1285483073
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AMIRA DOUCETTE INTERNATIONAL LLC
Practice address
4131 Green Lake Rd
West Bloomfield, MI 48324-2850
Phone
(248) 933-9329
NPI assigned
May 15, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Amira DoucetteNPI 1225242431
Title
Owner/LPC
Phone
(248) 933-9329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

4131 Green Lake Rd
West Bloomfield, MI 48324-2850

Mailing address

3305 Spanish Wells Dr Apt a
Delray Beach, FL 33445-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241023004231 MI Part B Supplier - Clinic/Group Practice 9436682846 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI
O20250325003336 FL Part B Supplier - Clinic/Group Practice 9436682846 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1285483073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SPANISH WELLS DR APT A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 GREEN LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242850",
            "telephone_number": "248-933-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIRA DOUCETTE INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "248-933-9329"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.