Individual provider Active NPI

Freda Ogheneruona Amegee, LPC

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1639830821
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224464 Issued in MI
Practice address
23077 Greenfield Rd Ste 445
Southfield, MI 48075-3706
Phone
(248) 849-3301
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401224464 MI Primary
Counselor 101Y00000X 6451019802 MI
Mental Health Counselor 101YM0800X 6451019802 MI

Addresses

Primary practice location

23077 Greenfield Rd Ste 445
Southfield, MI 48075-3706

Mailing address

23475 Long Point Way Apt 308
Novi, MI 48375-3274
Phone (248) 752-1535

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
I20241111003815 MI Practitioner - Mental Health Counselor 0547794760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Eastwood Behavioral HealthGroup PAC ID 2163324492, 51 clinicians

Practice addresses (Care Compare)

22255 Greenfield Rd
Suite 300
Southfield, MI 48075-3729
Phone (248) 849-3301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451019802MIMDMental Health Counselor
6401224464MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health Mental Health CurrentSince Oct 1, 2024 Accepting new patients

Locations

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

44000 W Twelve Mile Rd
Ste 101
Novi, MI 48377
Phone (248) 226-3001

23077 Greenfield Rd
Ste 445
Southfield, MI 48075
Phone (248) 559-1266

22255 Greenfield Rd
Ste 300
Southfield, MI 48075
Phone (248) 557-5227

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: famegee1159790@direct.hfhs.org

Organizations & group practices 1

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1639830821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23475 LONG POINT WAY APT 308",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753274",
            "telephone_number": "248-752-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 445",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753706",
            "telephone_number": "248-849-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEGEE",
        "first_name": "FREDA",
        "middle_name": "OGHENERUONA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224464",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451019802",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451019802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.