Individual provider Active NPI

Tonya Jean Ratliff, LPC, NCC, ACS

  • Counselor
  • Shelby Township, MI
National Provider Identifier
1942515325
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401010503 Issued in MI
Practice address
45445 Mound Rd
Suite 111
Shelby Township, MI 48317-5178
Phone
(586) 254-3663
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401010503 MI Primary

Addresses

Primary practice location

45445 Mound Rd
Suite 111
Shelby Township, MI 48317-5178

Mailing address

45445 Mound Rd
Suite 111
Shelby Township, MI 48317-5178
Phone (586) 254-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 22, 2024 through Jul 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401010503MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Counseling Center LLC Counselor Current Accepting new patients

Locations

45445 Mound Rd
Ste 111
Shelby Township, MI 48317
Phone (586) 254-3633

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1942515325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45445 MOUND RD",
            "address_2": "SUITE 111",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175178",
            "telephone_number": "586-254-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45445 MOUND RD",
            "address_2": "SUITE 111",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175178",
            "telephone_number": "586-254-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "TONYA",
        "middle_name": "JEAN",
        "credential": "LPC, NCC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.