Active NPI
Anthony W Watkins, LLPC
- Counselor
- Detroit, MI
National Provider Identifier
1598093957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401012010
- Practice address
- 2051 W Grand Blvd
Detroit, MI 48208-1105 - Phone
- (313) 961-4277
- NPI assigned
- Nov 24, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401012010 | MI | Primary |
Addresses
Primary practice location
2051 W Grand Blvd
Detroit, MI 48208-1105
Mailing address
2051 W Grand Blvd
Detroit, MI 48208-1105
Phone (313) 961-4277
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012010 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Therapy Associates | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1306864129
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1588672091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1598093957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-961-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-961-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "ANTHONY",
"middle_name": "W",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-24",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401012010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.