Organization Active NPI

Daniel Shepherd Dmin, LLC

  • Counselor
  • Rochester, MI
National Provider Identifier
1851928626
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DANIEL SHEPHERD DMIN, LLC
Practice address
210 W University Dr Ste 7
Rochester, MI 48307-1975
Phone
(248) 687-9251
Fax
(248) 671-3198
NPI assigned
Mar 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Dr. Daniel Shepherd, LPC, LLMFTNPI 1083977169
Title
Couple and Family Therapist
Phone
(248) 687-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

210 W University Dr Ste 7
Rochester, MI 48307-1975

Mailing address

210 W University Dr Ste 7
Rochester, MI 48307-1975
Phone (248) 687-9251

Other names 1

  • InnerSearch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010001099 MI Part B Supplier - Clinic/Group Practice 4880126218 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MI

National Provider Directory

National Provider Directory

Locations

210 W University Dr
Ste 7
Rochester, MI 48307
Phone (248) 687-9251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1851928626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W UNIVERSITY DR STE 7",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071975",
            "telephone_number": "248-687-9251",
            "fax_number": "248-671-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W UNIVERSITY DR STE 7",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071975",
            "telephone_number": "248-687-9251",
            "fax_number": "248-671-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SHEPHERD DMIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COUPLE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "248-687-9251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LLMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerSearch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.