Active NPI
Shondra A Motloch, LPC
- Mental Health Counselor
- Clinton TWP, MI
National Provider Identifier
1477269918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401005652
- Practice address
- 38538 Applewood St
Clinton TWP, MI 48036-1808 - Phone
- (586) 873-3651
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401005652 | MI | Primary |
Addresses
Primary practice location
38538 Applewood St
Clinton TWP, MI 48036-1808
Mailing address
38538 Applewood St
Clinton TWP, MI 48036-1808
Phone (586) 873-3651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401005652 | Other | MI | APPLY FOR NPI |
| 6401005652 | Other | MI | MENTAL HEALTH |
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 |
|---|---|---|---|
| 6401005652 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1477269918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38538 APPLEWOOD ST",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480361808",
"telephone_number": "586-873-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38538 APPLEWOOD ST",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480361808",
"telephone_number": "586-873-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTLOCH",
"first_name": "SHONDRA",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401005652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLY FOR NPI",
"identifier": "6401005652",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH",
"identifier": "6401005652",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.