Active NPI
Jovonne Powell
- Counseling Psychologist
- Detroit, MI
National Provider Identifier
1912755570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- MI00003622
- Practice address
- 15860 Sorrento St
Detroit, MI 48227-4030 - Phone
- (734) 925-7750
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | MI00003622 | MI | Primary |
Addresses
Primary practice location
15860 Sorrento St
Detroit, MI 48227-4030
Mailing address
15860 Sorrento St
Detroit, MI 48227-4030
Phone (734) 925-7750
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
| License | State | Type | Specialty |
|---|---|---|---|
| MI00003622 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1912755570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15860 SORRENTO ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482274030",
"telephone_number": "734-925-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15860 SORRENTO ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482274030",
"telephone_number": "734-925-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JOVONNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "MI00003622",
"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 May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.