Active NPI
Loretta Mitton, MA, LLP
- Mental Health Counselor
- Saint Clair Shores, MI
National Provider Identifier
1649551268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6301014832
- Practice address
- 19900 E 10 Mile Rd
Suite 102
Saint Clair Shores, MI 48080-4412 - Phone
- (586) 776-3366
- NPI assigned
- Sep 9, 2011
- Last updated
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301014832 | MI | Primary |
Addresses
Primary practice location
19900 E 10 Mile Rd
Suite 102
Saint Clair Shores, MI 48080-4412
Mailing address
791 Tanglewood Dr
Madison Heights, MI 48071-2209
Phone (248) 506-7001
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014832 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1649551268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 TANGLEWOOD DR",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712209",
"telephone_number": "248-506-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19900 E 10 MILE RD",
"address_2": "SUITE 102",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480804412",
"telephone_number": "586-776-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTON",
"first_name": "LORETTA",
"name_prefix": "Mrs.",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6301014832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
- Keirsten Mitchell
- Maryann P. Mitchell, M.A. SLP-CFY
- Vanessa Mitchell, DDS
- Vince Edward Mitchell, DDS
- Mitten Center for Psychological Trauma, LLC (Mitten Center for Psychological Trauma)
- MJ Senior Homecare, LLC (Visiting Angels of Grosse Pointe)
- Kathryn Mlynarek
- Venkat Ramana Modukuru, MBBS MD MRCS
- Joram O Mogaka, MD
- Brilio Conrado Mojares, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.