Active NPI
Sharon McKinney
- Peer Specialist
- Detroit, MI
National Provider Identifier
1679922645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2081 W Grand Blvd
Detroit, MI 48208-1105 - Phone
- (313) 895-0500
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Peer Specialist | 175T00000X | MI | Primary |
Addresses
Primary practice location
2081 W Grand Blvd
Detroit, MI 48208-1105
Mailing address
1121 E McNichols Rd
Detroit, MI 48203-2857
Phone (313) 365-3100
Other practice location 1
707 W Milwaukee St
Detroit, MI 48202-2943
Phone (313) 344-9099
Other practice location 2
1852 W Grand Blvd
Detroit, MI 48208-1006
Phone (313) 894-8444
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobriety House | Current | Accepting new patients |
Locations
2081 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-0500
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Detroit, MI
- NPI 1386777555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1679922645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 E MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482032857",
"telephone_number": "313-365-3100",
"fax_number": "313-365-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2081 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-895-0500"
}
],
"practiceLocations": [
{
"address_1": "707 W Milwaukee St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022943",
"country_code": "US",
"telephone_number": "313-344-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1852 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482081006",
"country_code": "US",
"telephone_number": "313-894-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINNEY",
"first_name": "SHARON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MI",
"license": null,
"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 Feb 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.