Individual provider Active NPI

Dennielle McIver, MS LPC

  • Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1912267444
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401013249 Issued in MI
Practice address
36400 Woodward Ave
Suite 225
Bloomfield Hills, MI 48304-0911
Phone
(248) 878-5060
NPI assigned
May 17, 2012
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013249 MI Primary
Mental Health Counselor 101YM0800X 6401013249 MI

Addresses

Primary practice location

36400 Woodward Ave
Suite 225
Bloomfield Hills, MI 48304-0911

Mailing address

36400 Woodward Ave Ste 225
Bloomfield Hills, MI 48304-0914
Phone (248) 973-7958

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 Science

State licenses

LicenseStateTypeSpecialty
6401013249MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Behavioral Counseling, LLC. Counselor CurrentSince Sep 1, 2019 Accepting new patients

Locations

36400 Woodward Ave
Ste 225
Bloomfield Hills, MI 48304
Phone (248) 878-5060

36400 Woodward Ave
Ste 240
Bloomfield Hills, MI 48304
Phone (248) 973-7958

Organizations & group practices 1

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1912267444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 225",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040914",
            "telephone_number": "248-973-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE",
            "address_2": "SUITE 225",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040911",
            "telephone_number": "248-878-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCIVER",
        "first_name": "DENNIELLE",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013249",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.