Individual provider Active NPI

Desiree Allen

  • Counselor
  • Detroit, MI
National Provider Identifier
1609260983
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401020227 Issued in MI
Practice address
2715 Macomb St
Detroit, MI 48207-3830
Phone
(313) 567-0221
Fax
(313) 567-0239
NPI assigned
Mar 24, 2015
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401020227 MI Primary
Mental Health Counselor 101YM0800X L219890 MI
Contractor 171W00000X L219890 MI

Addresses

Primary practice location

2715 Macomb St
Detroit, MI 48207-3830

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 262-1070

Other practice location 2

2 Crocker Blvd
Mount Clemens, MI 48043-2528
Phone (586) 468-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125000240 MI Practitioner - Mental Health Counselor 6305338633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3067

1 Ford PL
Suite 3a
Detroit, MI 48202-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401020227MIMDCounselor
L219890MIMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System-School Based Health Initiative CurrentSince Nov 1, 2025 Accepting new patients
Beauty in Life Counseling LLC Mental Health Current Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1000 Scotten St
Detroit, MI 48209
Phone (313) 457-2797

2715 Macomb St
Detroit, MI 48207
Phone (313) 567-0221

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

Interoperability endpoints

  • Direct secure messaging: dallen1159595@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1609260983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MACOMB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073830",
            "telephone_number": "313-567-0221",
            "fax_number": "313-567-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 W Alexandrine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012015",
            "country_code": "US",
            "telephone_number": "313-262-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Crocker Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432528",
            "country_code": "US",
            "telephone_number": "586-468-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401020227",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "L219890",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": "L219890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.