Individual provider Active NPI

Danielle Couch

  • Behavior Technician
  • Sterling Heights, MI
National Provider Identifier
1912668104
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
38257 Mound Rd BLDG D
Sterling Heights, MI 48310-3466
Phone
(586) 722-7524
NPI assigned
Jan 10, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 69755 MI
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

38257 Mound Rd BLDG D
Sterling Heights, MI 48310-3466

Mailing address

38257 Mound Rd BLDG D
Sterling Heights, MI 48310-3466
Phone (586) 722-7524

Other practice location 1

51145 Nicolette Dr
Chesterfield, MI 48047-4585
Phone (586) 228-9991

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
69755MIMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1912668104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38257 MOUND RD BLDG D",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103466",
            "telephone_number": "586-722-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38257 MOUND RD BLDG D",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103466",
            "telephone_number": "586-722-7524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51145 Nicolette Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480474585",
            "country_code": "US",
            "telephone_number": "586-228-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUCH",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "69755",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.