Individual provider Active NPI

Sheryl Latrise Williams, BS SSTR

  • Mental Health Counselor
  • Farmington Hills, MI
National Provider Identifier
1720423858
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6803085259 Issued in MI
Practice address
38855 Hills Tech Dr
200
Farmington Hills, MI 48331-3421
Phone
(248) 745-4900
Fax
(248) 994-8005
NPI assigned
May 2, 2013
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 6803085259 MI Primary

Addresses

Primary practice location

38855 Hills Tech Dr
200
Farmington Hills, MI 48331-3421

Mailing address

38855 Hills Tech Dr
200
Farmington Hills, MI 48331-3421
Phone (248) 745-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.cnsmi@direct.mihn.net Direct CNS Healthcare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523000760 MI Practitioner - Clinical Social Worker 9739521600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6803085259MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CNS Healthcare CurrentSince Mar 25, 2024 Accepting new patients

Locations

38855 Hills Tech Dr
Ste 200
Farmington Hills, MI 48331
Phone (248) 871-1463

24230 Karim Blvd
Ste 100
Novi, MI 48375
Phone (248) 830-3653

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1720423858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38855 HILLS TECH DR",
            "address_2": "200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313421",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38855 HILLS TECH DR",
            "address_2": "200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313421",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHERYL",
        "middle_name": "LATRISE",
        "credential": "BS SSTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6803085259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.cnsmi@direct.mihn.net",
            "affiliation": "Y",
            "affiliationName": "CNS Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24230 Karim Blvd",
            "address_2": "Suite 100",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483752960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.