Amy Marie Roche, MA LLPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009495 Issued in MI

Practice address

12434 12 Mile
Catholic Services of Macomb, Ste 201
Warren, MI 48093

Phone

(586) 416-2300

Fax

(586) 416-2311

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amy Marie Clavin Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Mindful Self LLCGroup PAC ID 1456575711, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• The Mindful Self, LLC

  • Professional Counselor
  • Warren, MI
  • NPI 1477805463
  Medicare reassignment Care Compare group NPD
• Catholic Services of Macomb

  • Mental Health Counselor
  • Clinton Township, MI
  • NPI 1235112616
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972581676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17881 BISCAYNE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422370",
            "telephone_number": "586-677-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12434 12 MILE",
            "address_2": "CATHOLIC SERVICES OF MACOMB, STE 201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA LLPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CLAVIN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Michael Robinson, LLMSW
• Dominique Robinson
• Eva Robinson
• Tanisha Robinson
• Tenisha Jwyanza Robinson
• David Alexander Rocheleau II, PHARMD
• Rochester Medical Equipment Inc.
• Gary S Rochlen, DDS
• Michelle Rochlen, DDS
• Matthew Rodemeyer, DPT

• Professional Counselor in Warren, MI
• Providers in Warren, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.