Active NPI
Odis Bellinger, LLPC
- Mental Health Counselor
- Southfield, MI
National Provider Identifier
1922561059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451015053
- Practice address
- 24901 Northwestern Hwy Ste 318
Southfield, MI 48075-2207 - Phone
- (313) 772-0110
- NPI assigned
- Apr 6, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451015053 | MI | Primary |
Addresses
Primary practice location
24901 Northwestern Hwy Ste 318
Southfield, MI 48075-2207
Mailing address
24901 Northwestern Hwy Ste 318
Southfield, MI 48075-2207
Phone (313) 772-0110
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 |
|---|---|---|---|
| 6451015053 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Better Men Counseling LLC | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1922561059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24901 NORTHWESTERN HWY STE 318",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752207",
"telephone_number": "313-772-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24901 NORTHWESTERN HWY STE 318",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752207",
"telephone_number": "313-772-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLINGER",
"first_name": "ODIS",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-06",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451015053",
"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 Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.