Active NPI
James Douglas Loffredo, LPC, CAAC, NCC
- Professional Counselor
- Grosse Pointe Park, MI
National Provider Identifier
1932228582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010037
- Practice address
- 502 Pemberton Rd
Grosse Pointe Park, MI 48230-1712 - Phone
- (313) 515-6200
- Fax
- (313) 824-1344
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 30, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00254 | MI | |
| Professional Counselor | 101YP2500X | 6401010037 | MI | Primary |
Addresses
Primary practice location
502 Pemberton Rd
Grosse Pointe Park, MI 48230-1712
Mailing address
502 Pemberton Rd
Grosse Pointe Park, MI 48230-1712
Phone (313) 332-1090
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 |
|---|---|---|---|
| 00254 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6401010037 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrington Loffredo PC | Professional | Past | Accepting new patients |
| Nui Loa PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Grosse Pointe Park, MI
- NPI 1215217005
-
- Community/Behavioral Health Agency
- Riverview, MI
- NPI 1851652408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1932228582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 PEMBERTON RD",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301712",
"telephone_number": "313-332-1090",
"fax_number": "313-824-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 PEMBERTON RD",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301712",
"telephone_number": "313-515-6200",
"fax_number": "313-824-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFFREDO",
"first_name": "JAMES",
"middle_name": "DOUGLAS",
"credential": "LPC, CAAC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "00254",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.