Individual provider Active NPI

Loretta Mitton, MA, LLP

  • Mental Health Counselor
  • Saint Clair Shores, MI
National Provider Identifier
1649551268
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6301014832 Issued in MI
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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 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

LicenseStateTypeSpecialty
6301014832MIMDMental 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

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.

Verify at the official NPI Registry.