Nicole Griffith, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014440 Issued in MI

Practice address

13001 23 Mile Rd Ste 103
Shelby TWP, MI 48315-2767

Phone

(800) 693-1916

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1437550431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48444 LAFAYETTE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445643",
            "telephone_number": "586-292-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 23 MILE RD STE 103",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483152767",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22255 Greenfield Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753729",
            "country_code": "US",
            "telephone_number": "248-849-3301",
            "fax_number": "248-849-5349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5980 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462377",
            "country_code": "US",
            "telephone_number": "248-625-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401014440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gods Care LLC
• Theresa Ann Goike, PT
• Reanna Golab, LMT
• Marsha Donnita Gordon, MA
• Great Lakes Dentistry Shelby (Great Lakes Dentistry)
• Chris Groulx, COTAL
• Lovell I Guanco, MD
• Allison Haines, DPT
• Paris Hale-Johnson
• Adam Gordon Hamilton, MA, LLPC

• Counselor in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.