Individual provider Active NPI

Nicole Goodroe-Monette, M.A. , CRC, LPC

  • Professional Counselor
  • Plymouth, MI
National Provider Identifier
1346643152
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014517 Issued in MI
Practice address
42207 Ann Arbor Rd E
Plymouth, MI 48170
Phone
(734) 234-8550
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014517 MI Primary

Addresses

Primary practice location

42207 Ann Arbor Rd E
Plymouth, MI 48170

Mailing address

1113 Dundee Dr
Canton, MI 48188-1289
Phone (734) 234-8550

Other practice location 1

141 N Center St Ste 201
Northville, MI 48167-1479
Phone (734) 542-6969

Other practice location 2

141 N Center St Ste 201
Northville, MI 48167-1479
Phone (734) 542-6969

Other practice location 3

917 S Merriman Rd
Westland, MI 48186-4951
Phone (734) 641-1141

Other practice location 4

917 S Merriman Rd
Westland, MI 48186-4951
Phone (734) 641-1141

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

LicenseStateTypeSpecialty
6401014517MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Passera Counseling, PLLC Counselor CurrentSince Sep 8, 2019 Accepting new patients
Beginning Step, LLC Past Accepting new patients
Matthew C Swartz Past Accepting new patients
Creative Care, LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1346643152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 DUNDEE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881289",
            "telephone_number": "734-234-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42207 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-234-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N Center St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481671479",
            "country_code": "US",
            "telephone_number": "734-542-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 N Center St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481671479",
            "country_code": "US",
            "telephone_number": "734-542-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 S Merriman Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481864951",
            "country_code": "US",
            "telephone_number": "734-641-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 S Merriman Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481864951",
            "country_code": "US",
            "telephone_number": "734-641-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODROE-MONETTE",
        "first_name": "NICOLE",
        "credential": "M.A. , CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.