Stacy K Doctoroff LLPC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STACY K DOCTOROFF LLPC, LLC

Practice address

29260 Franklin Rd Ste 111
Southfield, MI 48034-1196

Phone

(248) 259-5642

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Stacy K DoctoroffNPI 1437445228

Title

Member/Counselor

Phone

(248) 259-5642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Kay Doctoroff, LLPC

  • Mental Health Counselor
  • Huntington Woods, MI
  • NPI 1437445228

  MI

  Medicare reassignment NPD Authorized official
• Suzanne Rensel Thomas, LMSW

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1053477141
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1376017137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26413 HUNTINGTON RD",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701263",
            "telephone_number": "248-259-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341196",
            "telephone_number": "248-259-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY K DOCTOROFF LLPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "DOCTOROFF",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER/COUNSELOR",
        "authorized_official_telephone_number": "248-259-5642"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Marie'S
• Susan M St. Peter, CRNA
• Rachel Kimberly Stabel, R.N.
• Joseph Matthew Stabrava, MA TLLP
• Ellen Stachowicz, LLBSW
• Albert Stafford
• Erin Stahlbuck
• Alexandra Stallings
• Zakiya Stallings, D.O.
• Sarah B Stamper, FNP-BC

• All providers in Southfield, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.