Individual provider Active NPI

Meredith Reese

  • Mental Health Counselor
  • West Bloomfield, MI
National Provider Identifier
1932035045
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401008805 Issued in MI
Practice address
6960 Orchard Lake Rd Ste 202
West Bloomfield, MI 48322-4519
Phone
(877) 693-5543
Fax
(248) 221-1775
NPI assigned
Jun 18, 2026
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401008805 MI Primary

Addresses

Primary practice location

6960 Orchard Lake Rd Ste 202
West Bloomfield, MI 48322-4519

Mailing address

2440 Ivanhoe Dr
West Bloomfield, MI 48324-1738
Phone (248) 736-9084

Other practice location 1

2440 Ivanhoe Dr
West Bloomfield, MI 48324-1738
Phone (248) 736-9084

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Mental Health Live Authentic PLLC PastSince Mar 1, 2023 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": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1932035045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 IVANHOE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241738",
            "telephone_number": "248-736-9084",
            "fax_number": "248-736-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 ORCHARD LAKE RD STE 202",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224519",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Ivanhoe Dr",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483241738",
            "country_code": "US",
            "telephone_number": "248-736-9084",
            "fax_number": "248-736-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.