Individual provider Active NPI

Carraus Harden, LPC

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1669071585
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223133 Issued in MI
Practice address
13238 N Norfolk
Detroit, MI 48235-1026
Phone
(586) 443-3565
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 6401223133 MI Primary

Addresses

Primary practice location

13238 N Norfolk
Detroit, MI 48235-1026

Mailing address

26555 Evergreen Rd Ste 870
Southfield, MI 48076-4239
Phone (248) 429-9350

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401223133MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Therapy Clinic CurrentSince Dec 3, 2023 Accepting new patients
Black Family Development, Inc. Mental Health Past Accepting new patients

Locations

330 Town Center Dr
Ste 328
Dearborn, MI 48126
Phone (248) 430-0594

26555 Evergreen Rd
Ste 870
Southfield, MI 48076
Phone (248) 430-0594

Organizations & group practices 2

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1669071585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26555 EVERGREEN RD STE 870",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764239",
            "telephone_number": "248-429-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13238 N NORFOLK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351026",
            "telephone_number": "586-443-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "CARRAUS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.