Individual provider Active NPI

Deanna Faith Middlebrooks, M.A./LLPC

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1770712796
Registry record updated Jul 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4821 E McNichols Rd
Detroit, MI 48212-1730
Phone
(313) 368-4800
Fax
(313) 368-4700
NPI assigned
Jul 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4821 E McNichols Rd
Detroit, MI 48212-1730

Mailing address

1443 W Boston Blvd
Detroit, MI 48206-1706
Phone (313) 869-6926

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cascor Health Systems PC Past Accepting new patients
Sunshine Treatment Institute LLC PastSince Mar 30, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247356800000",
    "number": "1770712796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 W BOSTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061706",
            "telephone_number": "313-869-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121730",
            "telephone_number": "313-368-4800",
            "fax_number": "313-368-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOKS",
        "first_name": "DEANNA",
        "middle_name": "FAITH",
        "name_prefix": "Miss",
        "credential": "M.A./LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2009-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "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 Jul 12, 2009; 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.