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ALICE RABY
NPI 1245696137
Counselor in Detroit, MI

Active since January 07, 2016PECOS Enrolled
2251 ANTIETAM AVE, DETROIT, MI 48207(313) 878-3654 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alice Raby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE RABY (NPI 1245696137) is an individual counselor in Detroit, Michigan, licensed in Michigan (6401004035) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Wayne State University School Of Medicine (1993).

NPPES Registry Identity

NPI1245696137
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameALICE RABY
Location Address2251 ANTIETAM AVEDetroit, MI 48207-3879
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (248) 662-8912
Phone(313) 878-3654
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1993
Enumeration DateJanuary 7, 2016
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1245696137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401004035
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401004035 (MI)
2251 ANTIETAM AVE, Detroit, MI 48207
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Secondary Practice Location 1

Location 19761 McKinney StDetroit, MI 48224-2533 · Phone (248) 662-8912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Raby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850882143
PECOS Enrollment IDI20251114001291
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEIRAZ TEKKO MSN, CPNP-PC
Nurse Practitioner (Pediatrics)
2251 ANTIETAM AVE
DETROIT, MI 48207
Wayne County (313) 818-3654
NINA ROMANO
Student in an Organized Health Care Education/Training Program
2251 ANTIETAM AVE
DETROIT, MI 48207
Wayne County (313) 782-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Raby's NPI number?

The NPI number for Alice Raby is 1245696137. It was assigned to this individual provider in the NPPES registry on January 7, 2016.

Where is Alice Raby located?

Alice Raby practices at 2251 Antietam Ave, Detroit, MI 48207. The listed phone number is (313) 878-3654.

What is Alice Raby's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Alice Raby enrolled in Medicare?

Yes. Alice Raby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alice Raby was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.