Individual provider Active NPI

Christin Ann Perry-Michalik, LPC

  • Counselor
  • Novi, MI
National Provider Identifier
1457584732
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011503 Issued in MI
Practice address
41700 Gardenbrook Rd Ste 110
Novi, MI 48375
Phone
(734) 956-0457
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011503 MI
Counselor 101Y00000X 6401011503 MI Primary

Addresses

Primary practice location

41700 Gardenbrook Rd Ste 110
Novi, MI 48375

Mailing address

14247 Merriman Rd
Livonia, MI 48154-4262
Phone (734) 469-0816

Other identifiers 1

IdentifierTypeStateIssuer
101Y00000XOtherMIBCBS

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
I20231128001720 MI Practitioner - Mental Health Counselor 7416305750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathryn Miller PHD PCGroup PAC ID 0042289274, 13 clinicians

Practice addresses (Care Compare)

19855 Outer Dr
Suite 300W
Dearborn, MI 48124-2189
Phone (313) 359-1977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Miller PHD PC CurrentSince Jan 1, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Locations

19855 Outer Dr
Ste 300W
Dearborn, MI 48124
Phone (313) 359-1977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1457584732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14247 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544262",
            "telephone_number": "734-469-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41700 GARDENBROOK RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "734-956-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-MICHALIK",
        "first_name": "CHRISTIN",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011503",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "101Y00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.