Active NPI
Elaine Doctor, MA, LLPC
- Professional Counselor
- Troy, MI
National Provider Identifier
1316008089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010019
- Practice address
- 888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762 - Phone
- (248) 244-8644
- Fax
- (248) 244-1330
- NPI assigned
- Dec 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010019 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Mailing address
6273 Evanswood Rd
Troy, MI 48085-1107
Phone (248) 244-8644
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010019 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316008089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6273 EVANSWOOD RD",
"city": "TROY",
"state": "MI",
"postal_code": "480851107",
"telephone_number": "248-244-8644",
"fax_number": "248-244-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 1450",
"city": "TROY",
"state": "MI",
"postal_code": "480844762",
"telephone_number": "248-244-8644",
"fax_number": "248-244-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCTOR",
"first_name": "ELAINE",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.