Heather E Devaraj, DBH, LPC, CCS, CAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401013149 Issued in MI

Practice address

2035 Hogback Rd Ste 102
Ann Arbor, MI 48105-9487

Phone

(734) 673-9957

NPI assigned

Sep 3, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Rewire Counseling Center PLLC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1053931287
  NPD Authorized official
• Integrative Services PLLC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1275085375
  NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1487802476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059487",
            "telephone_number": "734-673-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059487",
            "telephone_number": "734-673-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Packard St Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481046827",
            "country_code": "US",
            "telephone_number": "734-707-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVARAJ",
        "first_name": "HEATHER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DBH, LPC, CCS, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Detrow, PHARM. D.
• Kirk Austin Dettloff, MD
• Kristen E Detweiler Short, NP
• Joshua Allen Deuel, D.D.S.
• Suhas Devangam, MD
• Jenna Devare, MD
• Tatiana Deveney, MD
• Patrick Dever
• Chelsea Deville
• Devin Frazier Psychological Services, Inc

• Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.