Organization Active NPI

Gaines Insight Counseling LLC

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1891597647
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GAINES INSIGHT COUNSELING LLC
Practice address
26700 Lahser Rd
Southfield, MI 48033-2608
Phone
(313) 915-0672
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Anetra M Gaines, MA,LPC,CRC,CAADC-DNPI 1063163525
Title
Therapist
Phone
(313) 915-0672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

26700 Lahser Rd
Southfield, MI 48033-2608

Mailing address

PO Box 315
Southfield, MI 48037-0315
Phone (313) 915-0672

Other practice location 1

2B S Washington St
Oxford, MI 48371-4971
Phone (313) 915-0672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608001073 MI Part B Supplier - Clinic/Group Practice 7719458058 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1891597647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370315",
            "telephone_number": "313-915-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332608",
            "telephone_number": "313-915-0672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2B S Washington St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MI",
            "postal_code": "483714971",
            "country_code": "US",
            "telephone_number": "313-915-0672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAINES INSIGHT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "ANETRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "313-915-0672",
        "authorized_official_credential": "MA,LPC,CRC,CAADC-D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.