Individual provider Active NPI

Cherie D Wilcox, LLP LPC

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1609828649
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401003098 Issued in MI
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

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715001666 MI Practitioner - Clinical Psychologist 3971895608 Reassigns benefits to 2 organizations

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
AsnaaGroup PAC ID 9931429255, 7 clinicians

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

LicenseStateTypeSpecialty
6401003098MIMDProfessional Counselor
6301008689MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Asnaa Psychologist CurrentSince Jun 6, 2016 Accepting new patients
Iamerica Wellness Center Psychologist CurrentSince Mar 30, 2026 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties PastSince Mar 1, 2011 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.

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

Verify at the official NPI Registry.