Individual provider Active NPI

Robert John Huston, LMSW, CPRM

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
National Provider Identifier
1639577448
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
M-00011 Issued in MI
Practice address
10 Peterboro St
Detroit, MI 48201-2722
Phone
(131) 383-1316
NPI assigned
Dec 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801096425 MI
Clinical Social Worker 1041C0700X 6801096425 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X M-00011 MI Primary

Addresses

Primary practice location

10 Peterboro St
Detroit, MI 48201-2722

Mailing address

79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 831-5535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhuston@centralcityhelath.com Direct

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
I20160404000449 MI Practitioner - Clinical Social Worker 0840597027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-00011MIMDAddiction (Substance Use Disorder) Counselor
6801096425MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Central City Community Mental Health Inc. Current Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Mar 11, 2016 Accepting new patients
Detroit Central City Community Mental Health, Inc CurrentSince Mar 11, 2016 Accepting new patients

Locations

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

17950 Woodward Ave
Detroit, MI 48203
Phone (313) 401-0929

1240 3rd St
Detroit, MI 48226
Phone (313) 635-4213

10 Peterboro St
Fl 1
Detroit, MI 48201

3427 Woodward Ave
Detroit, MI 48201
Phone (313) 578-6123

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1639577448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012015",
            "telephone_number": "313-831-5535",
            "fax_number": "313-831-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "131-383-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMSW, CPRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096425",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096425",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "M-00011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhuston@centralcityhelath.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10 Peterboro St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482012722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.