Individual provider Active NPI

Stacy Kay Doctoroff, LLPC

  • Mental Health Counselor
  • Huntington Woods, MI
National Provider Identifier
1437445228
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012499 Issued in MI
Practice address
26413 Huntington Rd
Huntington Woods, MI 48070-1263
Phone
(248) 259-5642
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012499 MI Primary

Addresses

Primary practice location

26413 Huntington Rd
Huntington Woods, MI 48070-1263

Mailing address

26413 Huntington Rd
Huntington Woods, MI 48070-1263

Other identifiers 1

IdentifierTypeStateIssuer
6401012499OtherMISTATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

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
I20240607000275 MI Practitioner - Mental Health Counselor 7214479153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29260 Franklin Rd
Suite 111
Southfield, MI 48034-1196
Phone (248) 259-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy K Doctoroff LLPC, LLC CurrentSince Apr 20, 2024 Accepting new patients

Locations

29260 Franklin Rd
Ste 111
Southfield, MI 48034
Phone (248) 259-5642

Organizations & group practices 1

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1437445228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26413 HUNTINGTON RD",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26413 HUNTINGTON RD",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701263",
            "telephone_number": "248-259-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOROFF",
        "first_name": "STACY",
        "middle_name": "KAY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "6401012499",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.