Individual provider Active NPI

Erika Lynn Budson, LPC

  • Professional Counselor
  • Saint Clair Shores, MI
National Provider Identifier
1881106771
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014558 Issued in MI
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6401014558OtherMISTATE 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

LicenseStateTypeSpecialty
6401014558MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Roots Counseling LLC CurrentSince Apr 9, 2023 Accepting new patients
Fairsky Foundation Professional PastSince May 16, 2016 Accepting new patients
H3 - Hope Healing & Health Inc PastSince Jan 1, 2018 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.

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.

Verify at the official NPI Registry.