Michelle Marie Liss Gaits

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

79 W Alexandrine St
Detroit, MI 48201-2015

Phone

(313) 320-3958

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1619443967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19185 RENSELLOR ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522522",
            "telephone_number": "313-320-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012015",
            "telephone_number": "313-320-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS GAITS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154742997",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Gaffney Liroff, M.D.
• Damian W Lis
• Lisa M Randon MD LLC
• Robert Philip Lisak, MD
• Jenaye Laron Lisbon, FNP
• Ryan Walter Lithgow, PHYSICAL THERAPIST
• Melody Stashia Litkouhi, LMSW
• Luis Litonjua, DMD, DDS
• Little Magic Therapies, LLC
• Little Mighty Clouds of Joy, LLC

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.