Kimberly Rodway
Counselor in Royal Oak, MI. Individual provider (NPI-1).
NPI number1265989552
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1265989552
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Rodway
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2016
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401015556 | MI | Yes |
| 101YM0800X | Counselor, Mental Health | 6401015556 | MI | |
| 101YP2500X | Counselor, Professional | 6401015556 | MI |
Practice location
4949 Coolidge HwyRoyal Oak, MI 48073-1026
Phone 248-655-5900
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone 947-522-1860 · Fax 947-522-0307
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Counselor providers in Royal Oak · All 4,589 providers in Royal Oak
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