Individual provider Active NPI

Roslyn Kaye Marcy, LPC

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1922753359
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222467 Issued in MI
Practice address
25700 Lahser Rd
Southfield, MI 48033-5809
Phone
(248) 415-2500
Fax
(248) 415-2510
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401222467 MI Primary

Addresses

Primary practice location

25700 Lahser Rd
Southfield, MI 48033-5809

Mailing address

PO Box 3785
Southfield, MI 48037-3785
Phone (313) 580-8723

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
6401222467MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Mental Health 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, 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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1922753359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3785",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373785",
            "telephone_number": "313-580-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335809",
            "telephone_number": "248-415-2500",
            "fax_number": "248-415-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCY",
        "first_name": "ROSLYN",
        "middle_name": "KAYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222467",
            "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 Feb 14, 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.