Active NPI
Roam Well, LLC
- Professional Counselor
- Royal Oak, MI
National Provider Identifier
1366124265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ROAM WELL, LLC
- Practice address
- 1320 N Campbell Rd Ste 22
Royal Oak, MI 48067-1555 - Phone
- (248) 266-5616
- Fax
- (219) 200-3367
- NPI assigned
- Aug 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Middlin, MA, LPC, NCC
- Title
- Owner
- Phone
- (248) 266-5616
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1320 N Campbell Rd Ste 22
Royal Oak, MI 48067-1555
Mailing address
1320 N Campbell Rd Ste 22
Royal Oak, MI 48067-1555
Phone (248) 266-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1320 N Campbell Rd
Ste 22
Royal Oak, MI 48067
Phone (248) 266-5616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1366124265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N CAMPBELL RD STE 22",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671555",
"telephone_number": "248-266-5616",
"fax_number": "219-200-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N CAMPBELL RD STE 22",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671555",
"telephone_number": "248-266-5616",
"fax_number": "219-200-3367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROAM WELL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "MIDDLIN",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-266-5616",
"authorized_official_credential": "MA, LPC, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.