Active NPI
Diane K Schalk, MA LLPC
- Professional Counselor
- Clinton Township, MI
National Provider Identifier
1003046442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011374
- Practice address
- 15501 Metropolitan Pkwy
Suite 107
Clinton Township, MI 48036-1684 - Phone
- (586) 649-8410
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011374 | MI | Primary |
Addresses
Primary practice location
15501 Metropolitan Pkwy
Suite 107
Clinton Township, MI 48036-1684
Mailing address
15501 Metropolitan Pkwy
Suite 107
Clinton Township, MI 48036-1684
Phone (586) 649-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011374 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Matters Counseling Center PLLC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Macomb, MI
- NPI 1689096927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1003046442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15501 METROPOLITAN PKWY",
"address_2": "SUITE 107",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361684",
"telephone_number": "586-649-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15501 METROPOLITAN PKWY",
"address_2": "SUITE 107",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361684",
"telephone_number": "586-649-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALK",
"first_name": "DIANE",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "MA LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.