Active NPI
Brenda Blind, LPC
- Professional Counselor
- West Bloomfield, MI
National Provider Identifier
1851778351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401006538
- Practice address
- 4408 Welland Dr
West Bloomfield, MI 48323-1463 - Phone
- (248) 884-0644
- NPI assigned
- May 4, 2015
- Last updated
- May 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401006538 | MI | Primary |
Addresses
Primary practice location
4408 Welland Dr
West Bloomfield, MI 48323-1463
Mailing address
4408 Welland Dr
West Bloomfield, MI 48323-1463
Phone (248) 884-0644
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 |
|---|---|---|---|
| 6401006538 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1851778351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4408 WELLAND DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231463",
"telephone_number": "248-884-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 WELLAND DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231463",
"telephone_number": "248-884-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIND",
"first_name": "BRENDA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401006538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
- Kellie Black
- Leah Danielle Black
- Sharice Jaunet Blalock, DPT
- Mollie E Blanchard-Brown, M.D.
- Yehudis Rivka Blavin, PA-C
- Andrew Howard Blinder, M.A., L.L.P
- Bloomfield Chiropractic Center PLLC
- Bloomfield Counseling,P.C.
- Bloomfield Medpointe Urgent Care Walk in Clinic PC
- Bloomfield Orchard Acquisition Company, Inc (Bloomfield Orchard Villa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.