Individual provider Active NPI

Alicia M Watt, LPC

  • Professional Counselor
  • Clarkston, MI
National Provider Identifier
1811248974
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013457 Issued in MI
Practice address
7300 Dixie Hwy Ste 1000
Clarkston, MI 48346-5105
Phone
(248) 922-2300
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 6401013457 MI Primary

Addresses

Primary practice location

7300 Dixie Hwy Ste 1000
Clarkston, MI 48346-5105

Mailing address

7127 E Atherton Rd
Davison, MI 48423-2403
Phone (810) 338-6655

Other practice location 1

1110 Eldon Baker Dr
Flint, MI 48507
Phone (810) 213-1803 ext. 30520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • 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
I20231130002617 MI Practitioner - Mental Health Counselor 0042668071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acpc PLLCGroup PAC ID 4981947850, 19 clinicians
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

142 E Maumee St
Adrian, MI 49221-2735
Phone (517) 263-5810

1429 Flushing Rd
Suite B
Flushing, MI 48433-2228
Phone (810) 380-5060

2422 Jolly Rd
Suite 100a
Okemos, MI 48864-3690
Phone (517) 853-1358

34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince Jan 1, 2024 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Jan 2, 2024 Accepting new patients
Downriver Mental Health Clinic PC Professional CurrentSince Jan 1, 2024 Accepting new patients
Rooted in Strength LLC CurrentSince Jan 22, 2023 Accepting new patients
Acpc PLLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

7300 Dixie Hwy
Ste 1000
Clarkston, MI 48346
Phone (248) 394-3739

5715 Bella Rosa Blvd
Ste 200
Clarkston, MI 48348
Phone (248) 657-4639

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.aliciawatt@150339.advancedmd-direct.com

Organizations & group practices 5

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1811248974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 E ATHERTON RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232403",
            "telephone_number": "810-338-6655",
            "fax_number": "248-856-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 1000",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465105",
            "telephone_number": "248-922-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Eldon Baker Dr",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48507",
            "country_code": "US",
            "telephone_number": "810-213-1803 x30520",
            "fax_number": "810-744-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATT",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.