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PROFOUND PSYCHOTHERAPY LLC
NPI 1376145557
Social Worker - Clinical in Rochester Hills, MI

Active since November 12, 2020
145 S LIVERNOIS RD # 113, ROCHESTER HILLS, MI 48307(248) 250-0253 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2021, Nov 12, 2020 (2 updates tracked since 2020).

About Profound Psychotherapy Llc NPPES

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

PROFOUND PSYCHOTHERAPY LLC (NPI 1376145557) is a healthcare organization registered as a clinical in Rochester Hills, Michigan and active in the NPI registry since November 2020. The organization lists Azeldri Van Der Wath, Therapist, as its authorized official.

NPPES Registry Identity

NPI1376145557
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROFOUND PSYCHOTHERAPY LLC
Location Address145 S LIVERNOIS RD # 113Rochester Hills, MI 48307-1837
Mailing Address41423 Ambercrest DrSterling Heights, MI 48314-3719 · (248) 250-0253
Phone(248) 250-0253
Organization SubpartNo
Authorized OfficialAzeldri Van Der WathTherapist · (248) 250-2530
Enumeration DateNovember 12, 2020
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1376145557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
145 S LIVERNOIS RD # 113, Rochester Hills, MI 48307
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

PAIGE VANNORMAN PSYCHOLOGICAL SERVICES PLLC
Psychologist (Clinical)
145 S LIVERNOIS RD # 113
ROCHESTER HILLS, MI 48307
Oakland County (248) 923-1536

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 Profound Psychotherapy LLC's NPI number?

The NPI number for Profound Psychotherapy LLC is 1376145557. It was assigned to this organization in the NPPES registry on November 12, 2020.

Where is Profound Psychotherapy LLC located?

Profound Psychotherapy LLC is located at 145 S Livernois Rd # 113, Rochester Hills, MI 48307. The listed phone number is (248) 250-0253.

What is Profound Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Profound Psychotherapy LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Profound Psychotherapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Profound Psychotherapy LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.