Douglas James Shimmel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012954 Issued in MI

Practice address

950 E Maple Rd Ste 122
Birmingham, MI 48009-6408

Phone

(248) 821-2981

Fax

(248) 282-5228

NPI assigned

Mar 19, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shimmel Counseling Agency, LLC

  • Adult Mental Health Clinic/Center
  • Birmingham, MI
  • NPI 1982132247
  NPD (past) Authorized official
• Glio Counseling Group

  • Community/Behavioral Health Agency
  • Oxford, MI
  • NPI 1780952507
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710252192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 HARVARD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721751",
            "telephone_number": "248-821-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD STE 122",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096408",
            "telephone_number": "248-821-2981",
            "fax_number": "248-282-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 15 Mile Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104853",
            "country_code": "US",
            "telephone_number": "586-264-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMMEL",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sherman, MA, LPC
• Yuri Shibata, NMT, MT-BC
• Sarah Shields, LLMSW
• Gerald Alan Shiener, M. D.
• Shimmel Counseling Agency, LLC
• Violet Shippert, MT-BC
• Katherine M Sickles, MT-BC
• Rebecca A Siden, MSW
• Lisa Ann Silverman, PH.D.
• Mark Lawrence Silverman, M.D.

• Professional Counselor in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.