Geraldine Gerry Baskerville, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401003813 Issued in MI

Practice address

17515 W 9 Mile Rd Ste 720
Southfield, MI 48075-4403

Phone

(248) 423-1728

Fax

(248) 773-1966

NPI assigned

Jun 10, 2010

Last updated

Jun 10, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1528388725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 720",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-423-1728",
            "fax_number": "248-773-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 720",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-423-1728",
            "fax_number": "248-773-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "GERALDINE",
        "middle_name": "GERRY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401003813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.