Andrew Tarockoff, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451018173 Issued in MI

Practice address

3604 Clarkston Rd Ste 102
Clarkston, MI 48348-5215

Phone

(248) 595-9969

Fax

(248) 814-0361

NPI assigned

Oct 16, 2017

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Wayne State University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Allay Counseling PLLC

  • Mental Health Counselor
  • Romeo, MI
  • NPI 1639707714
  Medicare reassignment NPD Authorized official
• Lake Orion Counseling Center

  • Psychologist
  • Clarkston, MI
  • NPI 1255759486
  NPD
• Obrien Chiropractic Clinic PC

  • Chiropractor
  • Romeo, MI
  • NPI 1134281561
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1427569672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66773 CAMPGROUND RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480951854",
            "telephone_number": "248-410-1559",
            "fax_number": "248-814-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CLARKSTON RD STE 102",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483485215",
            "telephone_number": "248-595-9969",
            "fax_number": "248-814-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29451 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762251",
            "country_code": "US",
            "telephone_number": "248-410-1559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Oak Brook Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483071046",
            "country_code": "US",
            "telephone_number": "248-410-1559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Rochdale Dr S",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483092275",
            "country_code": "US",
            "telephone_number": "248-410-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAROCKOFF",
        "first_name": "ANDREW",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451018173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.