Profound Psychotherapy LLC
NPI 1376145557 · Clinical Social Worker · Rochester Hills, MI
Profound Psychotherapy LLC is a Clinical Social Worker organization in Rochester Hills, MI (NPI 1376145557).
Provider details
- NPI number
- 1376145557
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Azeldri Van Der Wath, Therapist(248) 250-2530
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-12
- Last updated
- 2021-01-28
- Certified
- 2021-01-11
Frequently asked questions
- What is Profound Psychotherapy LLC's NPI number?
- Profound Psychotherapy LLC's National Provider Identifier (NPI) is 1376145557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Profound Psychotherapy LLC?
- Profound Psychotherapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Profound Psychotherapy LLC located?
- Profound Psychotherapy LLC's practice location on file with NPPES is 145 S Livernois Rd # 113, Rochester Hills, MI 48307-1837.
- What is Profound Psychotherapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Profound Psychotherapy LLC is (248) 250-0253.
- Who is the authorized official for Profound Psychotherapy LLC?
- The authorized official listed on Profound Psychotherapy LLC's NPPES record is Azeldri Van Der Wath, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Profound Psychotherapy LLC's NPI active?
- Yes — Profound Psychotherapy LLC's NPI (1376145557) is active in the NPPES registry as of the last update on 2021-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.