Individual provider Active NPI

Jumoi-Antonio Shemar-David Reid, LPC, LLMFT, MA, NCC

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1881301893
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225681 Issued in MI
Practice address
22151 Moross Rd
Detroit, MI 48236-2167
Phone
(313) 343-7230
Fax
(313) 343-7230
NPI assigned
Oct 31, 2022
Last updated
Nov 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4151001077 MI
Mental Health Counselor 101YM0800X 6401225681 MI
Professional Counselor 101YP2500X 6401225681 MI Primary

Addresses

Primary practice location

22151 Moross Rd
Detroit, MI 48236-2167

Mailing address

31815 Southfield Rd Ste 18
Beverly Hills, MI 48025-5471
Phone (248) 480-0115

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451022605MIMDMental Health Counselor
4151001077MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mas Counseling Services, PLLC Professional CurrentSince Nov 3, 2024 Accepting new patients
Kalamazoo Psychology, LLC PastSince Mar 18, 2024 Accepting new patients
Kalamazoo Psychology PastSince Nov 1, 2022 Accepting new patients

Locations

31815 Southfield Rd
Ste 18
Beverly Hills, MI 48025
Phone (248) 480-0115

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1881301893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 18",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-480-0115",
            "fax_number": "248-282-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "313-343-7230",
            "fax_number": "313-343-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JUMOI-ANTONIO",
        "middle_name": "SHEMAR-DAVID",
        "credential": "LPC, LLMFT, MA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151001077",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401225681",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225681",
            "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 Nov 3, 2026; 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.