Individual provider Active NPI

Rene Colvin, LPC

  • Counselor
  • Warren, MI
National Provider Identifier
1427606615
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401222377 Issued in MI
Practice address
11662 Martin Rd
Warren, MI 48093-4588
Phone
(586) 558-6868
Fax
(586) 558-6893
NPI assigned
Aug 30, 2019
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401222377 MI Primary

Addresses

Primary practice location

11662 Martin Rd
Warren, MI 48093-4588

Mailing address

15734 Orchard LN
Roseville, MI 48066-2716
Phone (313) 948-9695

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240914000042 MI Practitioner - Mental Health Counselor 0143760322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways 2 PLLCGroup PAC ID 2062646979, 9 clinicians

Practice addresses (Care Compare)

11662 Martin Rd
Warren, MI 48093-4588
Phone (586) 348-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways 2 PLLC CurrentSince Jun 7, 2024 Accepting new patients
Journey of Life Counseling, LLC Professional CurrentSince May 14, 2025 Accepting new patients

Locations

11662 Martin Rd
Warren, MI 48093
Phone (586) 558-6868

Organizations & group practices 2

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1427606615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15734 ORCHARD LN",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662716",
            "telephone_number": "313-948-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934588",
            "telephone_number": "586-558-6868",
            "fax_number": "586-558-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "RENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401222377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.