Active NPI
Dorian Banks
- Mental Health Counselor
- Detroit, MI
National Provider Identifier
1407531445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451023045
- Practice address
- 12836 Dresden St
Detroit, MI 48205-3350 - Phone
- (313) 207-0640
- NPI assigned
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451023045 | MI | Primary |
Addresses
Primary practice location
12836 Dresden St
Detroit, MI 48205-3350
Mailing address
12836 Dresden St
Detroit, MI 48205-3350
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023045 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1407531445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 DRESDEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482053350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12836 DRESDEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482053350",
"telephone_number": "313-207-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "DORIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451023045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.