Active NPI
Cherie D Wilcox, LLP LPC
- Professional Counselor
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401003098
- Practice address
- 19445 W Warren Ave
Detroit, MI 48228 - Phone
- (313) 307-0088
- Fax
- (313) 281-2235
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008689 | MI | |
| Professional Counselor | 101YP2500X | 6401003098 | MI | Primary |
Addresses
Primary practice location
19445 W Warren Ave
Detroit, MI 48228
Mailing address
19445 W Warren Ave
Detroit, MI 48228-3361
Phone (313) 307-0088
Other practice location 1
812 E Jolly Rd
Ste 111
Lansing, MI 48910-6818
Phone (517) 223-0485
Other practice location 2
1061 Inkster Rd
Garden City, MI 48135-3168
Phone (734) 291-0007
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19445 W Warren
Iamerica Behavioral and Mental Health
Detroit, MI 48228-3361
Phone (313) 307-0088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401003098 | MI | MD | Professional Counselor |
| 6301008689 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asnaa | Psychologist | Current | Accepting new patients |
| Iamerica Wellness Center | Psychologist | Current | Accepting new patients |
| Community Mental Health Authority of Clinton Eaton Ingham Counties | Past | Accepting new patients |
Locations
8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088
19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088
1061 Inkster Rd
Garden City, MI 48135
Phone (313) 307-0088
3120 Carpenter St
Ste 211
Hamtramck, MI 48212
Phone (313) 893-2483
25350 Eureka Rd
Taylor, MI 48180
Phone (313) 307-0088
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1346637758
Psychologist
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Canton, MI
- NPI 1801765946
Psychologist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lansing, MI
- NPI 1265483457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1609828649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19445 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283361",
"telephone_number": "313-307-0088",
"fax_number": "313-281-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19445 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48228",
"telephone_number": "313-307-0088",
"fax_number": "313-281-2235"
}
],
"practiceLocations": [
{
"address_1": "812 E Jolly Rd",
"address_2": "Ste 111",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489106818",
"country_code": "US",
"telephone_number": "517-223-0485",
"fax_number": "517-346-8291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1061 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481353168",
"country_code": "US",
"telephone_number": "734-291-0007",
"fax_number": "734-661-4501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILCOX",
"first_name": "CHERIE",
"middle_name": "D",
"credential": "LLP LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008689",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401003098",
"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 Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.