Individual provider Active NPI

Rita Ezeh

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison Heights, MI
National Provider Identifier
1417728288
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704325978 Issued in MI
Practice address
711 W 13 Mile Rd
Madison Heights, MI 48071-1873
Phone
(248) 298-1000
Fax
(248) 298-1006
NPI assigned
Jan 11, 2024
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704325978 MI Primary

Addresses

Primary practice location

711 W 13 Mile Rd
Madison Heights, MI 48071-1873

Mailing address

3501 Inverness Dr
Rochester Hills, MI 48306-4757
Phone (860) 910-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603003577 MI Practitioner - Nurse Practitioner 2769953488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3501 Inverness Dr
Rochester Hills, MI 48306-4757

711 W 13 Mile Rd
Suite 100
Madison Heights, MI 48071-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704325978MIMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Counseling Services PLLC CurrentSince Jun 1, 2026 Accepting new patients
Lakeview Staffing Services LLC Psychiatric/Mental Health PastSince Apr 8, 2026 Accepting new patients
Lakeview Family Counseling Center LLC Past Accepting new patients

Locations

711 W 13 Mile Rd
Ste 100
Madison Heights, MI 48071
Phone (248) 298-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1417728288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 INVERNESS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064757",
            "telephone_number": "860-910-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711873",
            "telephone_number": "248-298-1000",
            "fax_number": "248-298-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEH",
        "first_name": "RITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704325978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.