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JUDITH PERSLEY MSA
NPI 1255480414
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since January 09, 2007Opted out of Medicare · through Oct 1, 2026
4777 E OUTER DR, DETROIT, MI 48234(313) 369-5000(313) 369-5545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judith Persley Msa NPPES

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

JUDITH PERSLEY MSA (NPI 1255480414) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1255480414
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJUDITH PERSLEYCredential: MSA
Location Address4777 E OUTER DRDetroit, MI 48234-3241
Mailing Address28000 Dequindre RdWarren, MI 48092-2468 · (586) 753-0405 · Fax (586) 753-0404
Phone(313) 369-5000
Fax(313) 369-5545
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255480414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4777 E OUTER DR, Detroit, MI 48234
Open in Google Maps ↗

Other Names 1

Other Name (5)Judith Ferrell

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Judith Persley Msa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

MRS. COLLEEN BETH VERBEKE MA, LLP
Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
MS. MARVINA DARLENE ILER
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
SHAMAN HEALTH EMS LLC
Ambulance (Land Transport)
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (586) 300-5750
ST JOHN HEALTH SYSTEM
General Acute Care Hospital
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5689
RILEY GUEST
Physician Assistant
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-9100
KIMBERLY C CULBREATH MSW, LLMSW
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
MRS. KATRINA DENISE RICHARDSON NP
Nurse Practitioner
4777 E OUTER DR, 2935 WEST. GRAND BLVD.
DETROIT, MI 48234
Wayne County (313) 369-1960
ALLISON JAY RD
Dietitian, Registered
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5853

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 Judith Persley's NPI number?

The NPI number for Judith Persley is 1255480414. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Judith Ferrell.

Where is Judith Persley located?

Judith Persley practices at 4777 E Outer Dr, Detroit, MI 48234. The listed phone number is (313) 369-5000.

What is Judith Persley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Judith Persley enrolled in Medicare?

No. Judith Persley has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judith Persley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.