Active NPI
Robert Alan Debeauclair, LLPC
- Counselor
- Brighton, MI
National Provider Identifier
1679716773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401009557
- Practice address
- 12851 Grand River Rd
Brighton, MI 48116-8506 - Phone
- (810) 227-1211
- Fax
- (810) 220-5509
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401009557 | MI | Primary |
Addresses
Primary practice location
12851 Grand River Rd
Brighton, MI 48116-8506
Mailing address
12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 227-1211
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009557 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1679716773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12851 GRAND RIVER RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168506",
"telephone_number": "810-227-1211",
"fax_number": "810-220-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12851 GRAND RIVER RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168506",
"telephone_number": "810-227-1211",
"fax_number": "810-220-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBEAUCLAIR",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401009557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.