Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Amy Marie Roche, MALLPCNCC

Individual provider Professional Counselor · NPI 1972581676

Mrs. Amy Marie Roche, MALLPCNCC is a Mental Health Counselor in Warren, Michigan. Qualified in 2005, 21 years ago. Practices with The Mindful Self LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

12434 12 Mile Catholic Services Of Macomb Ste 201
Warren, MI 48093
Phone: (586) 416-2300
Fax: (586) 416-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401009495 (MI)

Record details

NPI number1972581676
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALLPCNCC
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice The Mindful Self Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Warren