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Larissa Heise , LMSW, LBA, BCBA

Behavior Analyst β€’ Southfield, MI

Active NPI 1982010567 Individual Practitioner Female Practitioner
Practice location in NPPES

24445 Northwestern Hwy Ste 100
Southfield, MI 480752436

Call 2484837804 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

24445 Northwestern Hwy Ste 100

Southfield, MI 480752436

Telephone 2484837804
Organization at the Same NPPES Address or Phone
Easterseals Morc Health Care, Inc. Facility NPI 1407013709

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dearborn, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Southfield and Michigan

45 active clinicians are listed under Behavior Analyst with a practice address in Southfield, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Southfield

0% of these 45 clinicians have the CMS telehealth indicator.

0% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 1-16-21863

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MI 6801096411

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

19855 Outer Dr

Dearborn, MI 481242022

Phone: 3133591977

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Ali Kaplan , PhD

Psychologist - Counseling

NPI 1396059473

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location March 13, 2020

Registered at 24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 480752436 (Tel: 2484837804)

πŸ“
Updated Business Mailing Address March 13, 2020

Registered at 24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 480752436 (Tel: 2484837804)

πŸ‘€
Provider Name / Credentials Updated March 13, 2020

Recorded as LARISSA HEISE, LMSW, LBA, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2020

Behavior Analyst (license number reported to NPPES: MI 1-16-21863)

πŸ“
Updated Practice Location June 18, 2019

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

πŸ“
Updated Business Mailing Address June 18, 2019

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

βœ…
NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 19, 2017

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

πŸ“
Updated Business Mailing Address July 19, 2017

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: (313) 831-5535)

πŸ‘€
Provider Name / Credentials Updated July 19, 2017

Recorded as LARISSA HEISE, LMSW, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Behavior Analyst (license number reported to NPPES: MI 1-16-21863)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Social Worker (license number reported to NPPES: MI 6801096411)

βœ…
NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 06, 2016

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

πŸ“
Business Mailing Address (Initial Record) April 06, 2016

Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)

πŸ‘€
Provider Name / Credentials (Initial Record) April 06, 2016

Recorded as LARISSA HEISE, LMSW, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Social Worker (license number reported to NPPES: MI 6801096411)

🟒
Initial NPI Registration & Enumeration July 03, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982010567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2014
Last Update: March 13, 2020
Sole Proprietor: No

Mailing Address

24445 Northwestern Hwy Ste 100

Southfield, MI 480752436

Phone: 2484837804

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.