Active NPI
Gerald Landon Hill, LPC
- Professional Counselor
- Detroit, MI
National Provider Identifier
1467769406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401000766
- Practice address
- 16525 Shaftsbury Ave
Detroit, MI 48219-4011 - Phone
- (313) 535-1935
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401000766 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801059719 | MI |
Addresses
Primary practice location
16525 Shaftsbury Ave
Detroit, MI 48219-4011
Mailing address
16525 Shaftsbury Ave
Detroit, MI 48219-4011
Phone (313) 535-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401000766 | MI | MD | Professional Counselor |
| 6801059719 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1467769406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16525 SHAFTSBURY AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194011",
"telephone_number": "313-535-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16525 SHAFTSBURY AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194011",
"telephone_number": "313-535-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "GERALD",
"middle_name": "LANDON",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401000766",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801059719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.