Active NPI
Amena Rathur, LLMSW
- Mental Health Counselor
- Sterling HTS, MI
National Provider Identifier
1639102189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6802083176
- Practice address
- 2122 15 Mile Rd
Suite B
Sterling HTS, MI 48310-4853 - Phone
- (586) 264-3692
- Fax
- (586) 939-5953
- NPI assigned
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6802083176 | MI | Primary |
Addresses
Primary practice location
2122 15 Mile Rd
Suite B
Sterling HTS, MI 48310-4853
Mailing address
2122 15 Mile Rd
Suite B
Sterling HTS, MI 48310-4853
Phone (586) 264-3692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 897096 | Other | MI | BCBS PIN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802083176 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639102189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 15 MILE RD",
"address_2": "SUITE B",
"city": "STERLING HTS",
"state": "MI",
"postal_code": "483104853",
"telephone_number": "586-264-3692",
"fax_number": "586-939-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 15 MILE RD",
"address_2": "SUITE B",
"city": "STERLING HTS",
"state": "MI",
"postal_code": "483104853",
"telephone_number": "586-264-3692",
"fax_number": "586-939-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHUR",
"first_name": "AMENA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6802083176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "897096",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling HTS, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.