David Ronald Adams Jr., LPC
Individual provider Active NPI Professional Counselor · Southfield, MI
NPI 1639533045 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1639533045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401018779 (MI)
- Practice address
- 24445 Northwestern Hwy
Southfield, MI 48075-6501 - Phone
- (248) 483-7804
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Easterseals Morc Health Care, Inc
Practice addresses (Care Compare)
24445 Northwestern Hwy
Suite 100
Southfield, MI 48075-2436
Phone (248) 483-7804
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229000442 | MI | Practitioner - Mental Health Counselor | 8224414636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cdagape | Professional | Current | Accepting new patients |
| Easterseals Morc Health Care, Inc. | Current |
Accepting new patients |
Locations
2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400
1098 Ann Arbor Rd W
Plymouth, MI 48170
Phone (313) 212-7244
22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197
24445 Northwestern Hwy
Southfield, MI 48075
Phone (248) 483-7804
24445 Northwestern Hwy
Ste 100
Southfield, MI 48075
Phone (248) 483-7804
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401018779 | MI | |
| Professional Counselor | 101YP2500X | 6401018779 | MI | Yes |
Addresses
Primary practice location
24445 Northwestern Hwy
Southfield, MI 48075-6501
Mailing address
24445 Northwestern Hwy
Southfield, MI 48075-6501
Phone (248) 483-7804
Other practice location 1
1098 Ann Arbor Rd W # 308
Plymouth, MI 48170-2129
Phone (248) 978-5862
Other providers in Southfield, MI
- Allen Russell Adams
- Angela Ida Morgan Adams
- Brittany R Adams
- Chloe Paige Adams
- Daniyah Imani Adams
- Judith Marie Adams
- Kathie Adams
- La'Paris Adams
- Penny Lanise Adams
- Rosanne M Adams
All providers in Southfield, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.