Individual provider Active NPI

Stephanie Danielle Mitchell, LPC

  • Professional Counselor
  • Dearborn, MI
National Provider Identifier
1629380332
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223851 Issued in MI
Practice address
5430 Wessex CT Apt 201
Dearborn, MI 48126-2676
Phone
(313) 817-9423
NPI assigned
Jul 10, 2010
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401223851 MI Primary
Professional Counselor 101YP2500X 6401011298 MI

Addresses

Primary practice location

5430 Wessex CT Apt 201
Dearborn, MI 48126-2676

Mailing address

5430 Wessex CT
Dearborn, MI 48126-4266

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
I20240328003155 MI Practitioner - Mental Health Counselor 5991143786 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401011298MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Pacs 2 PC CurrentSince Jul 22, 2024 Accepting new patients
Team Mental Health Services Inc. CurrentSince Mar 6, 2024 Accepting new patients
Team Wellness Center CurrentSince Mar 6, 2024 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Jul 22, 2024 Accepting new patients
County of Macomb CurrentSince Apr 18, 2024 Accepting new patients
County of Macomb CurrentSince Apr 18, 2024 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

6309 Mack Ave
Detroit, MI 48207
Phone (313) 331-3435

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Organizations & group practices 7

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1629380332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 WESSEX CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 WESSEX CT APT 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262676",
            "telephone_number": "313-817-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223851",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.