Active NPI
Michelle Alice Huckaby-Banks
- Addiction (Substance Use Disorder) Counselor
- Detroit, MI
National Provider Identifier
1720364466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3737 Lawton St
Detroit, MI 48208-2500 - Phone
- (313) 361-6136
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MI | Primary | |
| Mental Health Counselor | 101YM0800X | MI |
Addresses
Primary practice location
3737 Lawton St
Detroit, MI 48208-2500
Mailing address
9108 Beech Daly
Redford, MI 48329
Phone (248) 747-3358
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1720364466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9108 BEECH DALY",
"city": "REDFORD",
"state": "MI",
"postal_code": "48329",
"telephone_number": "248-747-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 LAWTON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482082500",
"telephone_number": "313-361-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKABY-BANKS",
"first_name": "MICHELLE",
"middle_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": null,
"primary": false
}
],
"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 Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.