Active NPI
Amy Marie Desrocher, LPC
- Counselor
- Chesterfield, MI
National Provider Identifier
1376867135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 101X00000X
- Practice address
- 50630 Chesterfield Rd
Chesterfield, MI 48051-4009 - Phone
- (586) 949-7680
- Fax
- (586) 949-7681
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101X00000X | MI | Primary |
Addresses
Primary practice location
50630 Chesterfield Rd
Chesterfield, MI 48051-4009
Mailing address
50630 Chesterfield Rd
Chesterfield, MI 48051-4009
Phone (586) 949-7680
Other names 1
- Amy Marie Bault
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.essmichigan@direct.mihin.net | Easterseals MORC Health Care, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101X00000X | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1376867135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50630 CHESTERFIELD RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480514009",
"telephone_number": "586-949-7680",
"fax_number": "586-949-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50630 CHESTERFIELD RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480514009",
"telephone_number": "586-949-7680",
"fax_number": "586-949-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROCHER",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "101X00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.essmichigan@direct.mihin.net",
"affiliation": "Y",
"affiliationName": "Easterseals MORC Health Care, Inc.",
"address_1": "2399 E Walton Blvd",
"city": "Auburn Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483261955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "BAULT",
"middle_name": "MARIE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.