Darryl Vincent Allen, LPC
Individual provider Active NPI Professional Counselor · Oak Park, MI
NPI 1659548212 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1659548212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401008657 (MI)
- Practice address
- 13701 Oak Park Blvd
Oak Park, MI 48237-2080 - Phone
- (248) 398-0199
- Fax
- (248) 398-0299
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-00372 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6401008657 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System-School Based Health Initiative | Professional | Current |
Accepting new patients |
| Diversified Community Services | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Spectrum Child and Family Services | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Henry Ford Southeast Michigan Community Health | Past |
Accepting new patients |
Locations
10301 W 7 Mile Rd
Detroit, MI 48221
Phone (248) 798-4048
13701 Oak Park Blvd
Oak Park, MI 48237
Phone (248) 398-0199
Interoperability endpoints
- dallen1159589@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-00372 | MI | |
| Professional Counselor | 101YP2500X | 6401008657 | MI | Yes |
Addresses
Primary practice location
13701 Oak Park Blvd
Oak Park, MI 48237-2080
Mailing address
28231 Peppermill Rd
Farmington Hills, MI 48331-5649
Phone (313) 207-6347
Other providers in Oak Park, MI
- All American Homecare, Inc
- All Care Rehab Corporation
- All Star Home Care LLC
- Mohamed Allam
- Ashley Renae Allen
- Allied Medical Equipment Inc
- Allstar DME Inc
- Reem Jurjis Alsabti
- Wijdan Ali Alyasiry
- Amaani Medical Supplies,Inc.
All providers in Oak Park, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.