Individual provider Active NPI

Rochelle Anixt Gold, MA, LMSW, ACSW

  • Mental Health Counselor
  • Birmingham, MI
National Provider Identifier
1902954787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801017589 Issued in MI
Practice address
700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322
Phone
(248) 642-3101
Fax
(248) 642-6832
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801017589 MI Primary

Addresses

Primary practice location

700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322

Mailing address

700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322
Phone (248) 642-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000275 MI Practitioner - Clinical Social Worker 7517024896 Reassigns benefits to 1 organization
Practice locations: Birmingham, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

380 N Old Woodward Ave
Suite 156
Birmingham, MI 48009-5307
Phone (248) 642-3101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801017589MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal & Family Adjustment Center PC CurrentSince Nov 16, 2008 Accepting new patients
American Arthritis & Rheumatology Associates -Mi PLLC Past Accepting new patients

Locations

700 N Old Woodward Ave
Ste 300
Birmingham, MI 48009
Phone (248) 642-8263

30555 Southfield Rd
Ste 510
Southfield, MI 48076
Phone (248) 390-1017

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902954787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-642-3101",
            "fax_number": "248-642-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-642-3101",
            "fax_number": "248-642-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ROCHELLE",
        "middle_name": "ANIXT",
        "name_prefix": "Mrs.",
        "credential": "MA, LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801017589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.