Individual provider Active NPI

Stanley John Szczotka, PH.D, MA. LLP. LPC,

  • Professional Counselor
  • Plymouth, MI
National Provider Identifier
1871619247
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009712 Issued in MI
Practice address
1255 S Main St
Plymouth, MI 48170-2215
Phone
(734) 765-6900
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009712 MI Primary
Clinical Psychologist 103TC0700X 6301009801 MI

Addresses

Primary practice location

1255 S Main St
Plymouth, MI 48170-2215

Mailing address

612 Filmore St
Canton, MI 48188-6721
Phone (734) 765-6900

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401009712MIMDProfessional Counselor
6301009801MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871619247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 FILMORE ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886721",
            "telephone_number": "734-765-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702215",
            "telephone_number": "734-765-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZOTKA",
        "first_name": "STANLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D, MA. LLP. LPC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009712",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.