Wendy Dittrich Croll, Ma, LPC, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WENDY DITTRICH CROLL, MA, LPC, LLC

Practice address

28475 Greenfield Rd Ste 113
Southfield, MI 48076-3034

Phone

(810) 360-7337

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Wendy Dittrich CrollNPI 1275943714

Title

Licensed Professional Counselor

Phone

(810) 360-7337

Specialties & licenses 2

Addresses

Other names 1

• Wendy Dittrich Croll, MA, LPC, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Dittrich Croll, MA,LLPC

  • Professional Counselor
  • Royal Oak, MI
  • NPI 1275943714
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1487279410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "810-360-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY DITTRICH CROLL, MA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "DITTRICH CROLL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "810-360-7337"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy Dittrich Croll, MA, LPC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paula Wells-Primer, CSW
• Ariella Wells
• Jeremy Wells, LPC
• Wellspring Comprehensive Management Company, LLC.
• Wendell D Lawrence DDS PLLC
• Wendy W. Webster DPM,PC
• Jeffrey Ernest Werner
• Norman Edward Werner
• Cassandra Werth
• Kim Wesley

• Multi-Specialty Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.