Organization Active NPI

Dove's Heart Counseling, LLC

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1346002581
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DOVE'S HEART COUNSELING, LLC
Practice address
7800 W Outer Drive
Suite LL04
Detroit, MI 48235-3461
Phone
(734) 255-4000
Fax
(313) 766-5882
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Rebekah Dove Montgomery, PHD, LPC-SNPI 1013337542
Title
Owner
Phone
(734) 255-4000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7800 W Outer Drive
Suite LL04
Detroit, MI 48235-3461

Mailing address

PO Box 972844
Ypsilanti, MI 48197-0323
Phone (734) 255-4000

Other practice location 1

343 S Main St Ste 200
Ann Arbor, MI 48104-2116
Phone (734) 255-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106005006 MI Part B Supplier - Clinic/Group Practice 2668962796 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

343 S Main St
Ste 200
Ann Arbor, MI 48104
Phone (734) 255-4000

Practitioners & affiliated clinicians

Practitioners 2

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": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1346002581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972844",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970323",
            "telephone_number": "734-255-4000",
            "fax_number": "313-766-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DRIVE",
            "address_2": "SUITE LL04",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353461",
            "telephone_number": "734-255-4000",
            "fax_number": "313-766-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042116",
            "country_code": "US",
            "telephone_number": "734-255-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOVE'S HEART COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "DOVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-255-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.