Individual provider Active NPI

Anissa Howard, LLMSW

  • Professional Counselor
  • Troy, MI
National Provider Identifier
1346884491
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6801105800 Issued in MI
Practice address
2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442
Phone
(248) 646-6659
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 6801105800 MI Primary

Addresses

Primary practice location

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442

Mailing address

8265 Perry Lake Rd
Clarkston, MI 48348-2957
Phone (248) 396-8368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@birminghammaple.com Direct Birmingham Maple Clinic

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
6801105800MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346884491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8265 PERRY LAKE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482957",
            "telephone_number": "248-396-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W BIG BEAVER RD STE 520",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843442",
            "telephone_number": "248-646-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ANISSA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6801105800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@birminghammaple.com",
            "affiliation": "Y",
            "endpointDescription": "EMPLOYMENT ORGANIZATION EMAIL ADDRESS",
            "affiliationName": "Birmingham Maple Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMPLOYMENT ORGANIZATION EMAIL ADDRESS",
            "address_1": "2075 W Big Beaver Rd Ste 520",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480843442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.