Individual provider Active NPI

Kent Darcie, LLPC

  • Professional Counselor
  • Saint Clair Shores, MI
National Provider Identifier
1609409895
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019089 Issued in MI
Practice address
21619 E 9 Mile Rd
Saint Clair Shores, MI 48080-1811
Phone
(586) 213-5505
NPI assigned
Feb 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401019089 MI Primary

Addresses

Primary practice location

21619 E 9 Mile Rd
Saint Clair Shores, MI 48080-1811

Mailing address

PO Box 180
Roseville, MI 48066-0180
Phone (734) 956-0475

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

State licenses

LicenseStateTypeSpecialty
6401019089MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Darcie, LLC Professional CurrentSince Mar 20, 2022 Accepting new patients

Locations

21619 E 9 Mile Rd
Saint Clair Shores, MI 48080
Phone (586) 213-5505

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1609409895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480660180",
            "telephone_number": "734-956-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21619 E 9 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801811",
            "telephone_number": "586-213-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARCIE",
        "first_name": "KENT",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.