Active NPI
Annette Arnold, LLPC,CAAC,LBSW,ADS
- Mental Health Counselor
- Saint Clair Shores, MI
National Provider Identifier
1306154141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401010508
- Practice address
- 22777 Harper Ave
Suite 208a
Saint Clair Shores, MI 48080-1868 - Phone
- (313) 399-3712
- Fax
- (313) 521-9125
- NPI assigned
- Sep 14, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-01677 | MI | |
| Mental Health Counselor | 101YM0800X | 6401010508 | MI | Primary |
| Social Worker | 104100000X | 6802080312 | MI |
Addresses
Primary practice location
22777 Harper Ave
Suite 208a
Saint Clair Shores, MI 48080-1868
Mailing address
19217 Hickory St
Detroit, MI 48205-2236
Phone (313) 399-3712
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 |
|---|---|---|---|
| C-01677 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6401010508 | MI | MD | Mental Health Counselor |
| 6802080312 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1306154141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19217 HICKORY ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482052236",
"telephone_number": "313-399-3712",
"fax_number": "313-521-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22777 HARPER AVE",
"address_2": "SUITE 208A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801868",
"telephone_number": "313-399-3712",
"fax_number": "313-521-9125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "LLPC,CAAC,LBSW,ADS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-01677",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401010508",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802080312",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.