Active NPI
Erika Lynn Budson, LPC
- Professional Counselor
- Saint Clair Shores, MI
National Provider Identifier
1881106771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401014558
- Practice address
- 22811 Greater Mack Ave Ste L2
Saint Clair Shores, MI 48080-2057 - Phone
- (586) 355-2006
- Fax
- (586) 279-3886
- NPI assigned
- Oct 31, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 6401014558 | MI | Primary |
Addresses
Primary practice location
22811 Greater Mack Ave Ste L2
Saint Clair Shores, MI 48080-2057
Mailing address
22811 Greater Mack Ave Ste L2
Saint Clair Shores, MI 48080-2057
Phone (586) 355-2006
Other practice location 1
1300 Broadway St Ste 712
Detroit, MI 48226-2202
Phone (586) 335-2006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401014558 | Other | MI | STATE OF MICHIGAN - PROFESSIONAL COUNSELOR LICENSE |
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 |
|---|---|---|---|
| 6401014558 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Roots Counseling LLC | Current | Accepting new patients | |
| Fairsky Foundation | Professional | Past | Accepting new patients |
| H3 - Hope Healing & Health Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Saint Clair Shores, MI
- NPI 1730509993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881106771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22811 GREATER MACK AVE STE L2",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802057",
"telephone_number": "586-355-2006",
"fax_number": "586-279-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22811 GREATER MACK AVE STE L2",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802057",
"telephone_number": "586-355-2006",
"fax_number": "586-279-3886"
}
],
"practiceLocations": [
{
"address_1": "1300 Broadway St Ste 712",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482262202",
"country_code": "US",
"telephone_number": "586-335-2006",
"fax_number": "586-279-3886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUDSON",
"first_name": "ERIKA",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401014558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN - PROFESSIONAL COUNSELOR LICENSE",
"identifier": "6401014558",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.