Individual provider Active NPI

Andrea Rawat, LLP, LPC

  • Psychologist
  • Troy, MI
National Provider Identifier
1861818577
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6351001807 Issued in MI
Practice address
363 W Big Beaver Rd Ste 400
Troy, MI 48084-5242
Phone
(248) 509-7657
Fax
(248) 509-7658
NPI assigned
Mar 6, 2014
Last updated
Feb 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401014153 MI
Psychologist 103T00000X 6351001807 MI Primary

Addresses

Primary practice location

363 W Big Beaver Rd Ste 400
Troy, MI 48084-5242

Mailing address

363 W Big Beaver Rd Ste 400
Troy, MI 48084-5242
Phone (248) 509-7657

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
I20250930002744 MI Practitioner - Clinical Psychologist 2264938158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nexus Behavioral Health PLLCGroup PAC ID 1052670965, 4 clinicians

Practice addresses (Care Compare)

363 W Big Beaver Rd
Suite 400
Troy, MI 48084-5242
Phone (248) 509-7657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014153MIMDMental Health Counselor
6351001807MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Behavioral Health PLLC CurrentSince Sep 1, 2025 Accepting new patients
Milton J Grosenbach Edd, PC Psychologist Past Accepting new patients

Locations

363 W Big Beaver Rd
Ste 400
Troy, MI 48084
Phone (248) 509-7657

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1861818577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845242",
            "telephone_number": "248-509-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845242",
            "telephone_number": "248-509-7657",
            "fax_number": "248-509-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAT",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "LLP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014153",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351001807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.