Active NPI
Linda Gloria Robertson, LPC
- Professional Counselor
- West Bloomfield, MI
National Provider Identifier
1427219963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401007111
- Practice address
- 6130 Cochise Dr
West Bloomfield, MI 48322-2361 - Phone
- (248) 752-5080
- Fax
- (248) 254-1736
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401007111 | MI | Primary |
Addresses
Primary practice location
6130 Cochise Dr
West Bloomfield, MI 48322-2361
Mailing address
6130 Cochise Dr
West Bloomfield, MI 48322-2361
Phone (248) 752-5080
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: No
- 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 |
|---|---|---|---|
| 6401007111 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1427219963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 COCHISE DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222361",
"telephone_number": "248-752-5080",
"fax_number": "248-254-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 COCHISE DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222361",
"telephone_number": "248-752-5080",
"fax_number": "248-254-1736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "LINDA",
"middle_name": "GLORIA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401007111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.