Individual provider Active NPI

Sherry Lynn Allison, LPC

  • Mental Health Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1306211362
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401018263 Issued in MI
Practice address
41000 Woodward Ave BLDG Suite350
Bloomfield Hills, MI 48304-5130
Phone
(248) 796-2822
Fax
(248) 327-0333
NPI assigned
Dec 2, 2015
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401018263 MI
Behavior Analyst 103K00000X 6401018263 MI
Mental Health Counselor 101YM0800X 6401018263 MI Primary

Addresses

Primary practice location

41000 Woodward Ave BLDG Suite350
Bloomfield Hills, MI 48304-5130

Mailing address

41000 Woodward Ave BLDG Suite350
Bloomfield Hills, MI 48304-5130
Phone (248) 783-6942

Other practice location 1

32961 Middlebelt Rd
Farmington Hills, MI 48334-1773
Phone (248) 855-1540

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

LicenseStateTypeSpecialty
6401018263MIMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1306211362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE BLDG SUITE350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045130",
            "telephone_number": "248-783-6942",
            "fax_number": "248-327-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE BLDG SUITE350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045130",
            "telephone_number": "248-796-2822",
            "fax_number": "248-327-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32961 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341773",
            "country_code": "US",
            "telephone_number": "248-855-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018263",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "6401018263",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.