Active NPI
Dennis Drake Rozema, LPC
- Mental Health Counselor
- Birmingham, MI
National Provider Identifier
1811921901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401002426
- Practice address
- 600 N Old Woodward Ave
Suite 304
Birmingham, MI 48009-1324 - Phone
- (248) 561-5054
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6401002426 | MI | |
| Mental Health Counselor | 101YM0800X | 6401002426 | MI | Primary |
| Professional Counselor | 101YP2500X | 6401002426 | MI | |
| School Counselor | 101YS0200X | 6401002426 | MI |
Addresses
Primary practice location
600 N Old Woodward Ave
Suite 304
Birmingham, MI 48009-1324
Mailing address
1609 Kilburn Rd N
Rochester Hills, MI 48306-3028
Phone (248) 561-5054
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401002426 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1811921901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 KILBURN RD N",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483063028",
"telephone_number": "248-561-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N OLD WOODWARD AVE",
"address_2": "SUITE 304",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091324",
"telephone_number": "248-561-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZEMA",
"first_name": "DENNIS",
"middle_name": "DRAKE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6401002426",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401002426",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401002426",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MI",
"license": "6401002426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.