Individual provider Active NPI

Robin Kelly Winke, LMSW

  • Mental Health Counselor
  • Troy, MI
National Provider Identifier
1639602097
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801098377 Issued in MI
Practice address
2701 Troy Center Dr
Suite 255
Troy, MI 48084-4753
Phone
(248) 558-2052
Fax
(248) 816-1256
NPI assigned
Apr 4, 2017
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801098377 MI Primary

Addresses

Primary practice location

2701 Troy Center Dr
Suite 255
Troy, MI 48084-4753

Mailing address

2701 Troy Center Dr
Suite 255
Troy, MI 48084-4753
Phone (248) 558-2052

Other practice location 1

5840 Lorac Dr Ste 4
Clarkston, MI 48346-2915
Phone (248) 558-2052

Other practice location 2

2605 Crooks Rd Ste B
Troy, MI 48084-4700
Phone (248) 558-2052

Other identifiers 1

IdentifierTypeStateIssuer
1639602097MedicaidMI

Other names 1

  • Robin Winke, LMSW Professional name

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
I20201006001755 MI Practitioner - Clinical Social Worker 3476972738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098377MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Therapy LLC Mental Health PastSince Sep 24, 2018 Accepting new patients
Behavioral & Social Solutions, P.C. Past Accepting new patients

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, 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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1639602097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 TROY CENTER DR",
            "address_2": "SUITE 255",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844753",
            "telephone_number": "248-558-2052",
            "fax_number": "248-816-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 TROY CENTER DR",
            "address_2": "SUITE 255",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844753",
            "telephone_number": "248-558-2052",
            "fax_number": "248-816-1256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5840 Lorac Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462915",
            "country_code": "US",
            "telephone_number": "248-558-2052",
            "fax_number": "248-816-1256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2605 Crooks Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844700",
            "country_code": "US",
            "telephone_number": "248-558-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKE",
        "first_name": "ROBIN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801098377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639602097",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "WINKE, LMSW",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.