Active NPI
Sheridan Lashell Williams-Pelt, ASSOCIATE DEGREE
- Counselor
- Detroit, MI
National Provider Identifier
1871901611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 19211 Anglin
Detroit, MI 48234 - Phone
- (313) 263-0077
- Fax
- (313) 305-5007
- NPI assigned
- Jul 24, 2014
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MI | Primary |
Addresses
Primary practice location
19211 Anglin
Detroit, MI 48234
Mailing address
P.O. Box 312087
Detroit, MI 48231
Phone (313) 993-4700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Rescue Mission Ministries Genesis House I II III & Oasis | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Substance Abuse Rehabilitation Facility
- Detroit, MI
- NPI 1851682215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1871901611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 312087",
"city": "DETROIT",
"state": "MI",
"postal_code": "48231",
"telephone_number": "313-993-4700",
"fax_number": "313-831-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19211 ANGLIN",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-263-0077",
"fax_number": "313-305-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-PELT",
"first_name": "SHERIDAN",
"middle_name": "LASHELL",
"name_prefix": "Mrs.",
"credential": "ASSOCIATE DEGREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.