Keith James Herriman, LLP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6361001627 Issued in MI

Practice address

17105 W 12 Mile Rd
Southfield, MI 48076-2104

Phone

(248) 557-8390

Fax

(248) 557-6427

NPI assigned

Jul 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christian Family Services-Pyo Inc

  • Community/Behavioral Health Agency
  • Southfield, MI
  • NPI 1396153698
  NPD (past)
• Solid Ground Counseling, PLLC

  • Community/Behavioral Health Agency
  • Plymouth, MI
  • NPI 1316107345

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1538713755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17105 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762104",
            "telephone_number": "502-593-6885",
            "fax_number": "248-557-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762104",
            "telephone_number": "248-557-8390",
            "fax_number": "248-557-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIMAN",
        "first_name": "KEITH",
        "middle_name": "JAMES",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361001627",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6361001627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabel Hernandez
• Daniel Hernandez
• Sierra Celeste Herndon
• Heroes for Homecare Inc
• Diana Herrera Cortes
• Roya Herrle, LLBSW
• T'Melia Stephanie Herron
• Tonya Rashawnn Herron, MSW
• Barry Herschman, MD
• Hershel C Jackson MD PC

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.