Christina Maria Makarov, EDD, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014187 Issued in MI

Practice address

11126 Wayne Rd
Romulus, MI 48174-1473

Phone

(734) 322-9334

NPI assigned

Jan 27, 2015

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christina Maria Zablocki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brave Soul Counseling PLLC

  • Counselor
  • Romulus, MI
  • NPI 1790247716
  NPD

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1811387913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13533 BRIAR HILL RD",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179203",
            "telephone_number": "248-933-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 WAYNE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741473",
            "telephone_number": "734-322-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34517 Utica Rd",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480263576",
            "country_code": "US",
            "telephone_number": "734-322-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKAROV",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014187",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ZABLOCKI",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Velma Love
• M.S.N. Consulting Services, LLC
• Kerrie Machcinski, NP-C
• Paulette Marie Mahone
• Jasmin V Maing, LLMSW
• Kelly Kristine Manson, LMSW
• Lisa Marie Mantel, COTA
• Minerva Martin
• Dawn Marie Massad, LMSW
• Colby Matevia

• Counselor in Romulus, MI
• Providers in Romulus, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.