State of Mind Counseling Centers LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STATE OF MIND COUNSELING CENTERS LLC

Practice address

52188 Van Dyke Ave Ste 319
Shelby Township, MI 48316-3571

Phone

(248) 690-6851

NPI assigned

Mar 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carrissa Nicole Michael, MA, LPC, NCC, LLMFT

Title

Owner/Therapist

Phone

(248) 521-8237

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrissa Nicole Papajesk

  • Counselor
  • Shelby Township, MI
  • NPI 1770927147

  Marriage & Family Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1003376112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FONTAINBLEAU CT E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072421",
            "telephone_number": "248-521-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 319",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163571",
            "telephone_number": "248-690-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MIND COUNSELING CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "CARRISSA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-521-8237",
        "authorized_official_credential": "MA, LPC, NCC, LLMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770927147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Vincent Rehab Services Inc
• Danielle M Stabley, PA-C
• John C Staeb, PT, DPT
• Richard D. Stamm, PHARMACIST
• Elizabeth Starrett, BCBA
• Madalyn Stearns
• George Stec
• Elizabeth Stecher, M.A., CCC-SLP
• Kaitlyn M Steele, MS, CCC-SLP
• Steenbergh & Steenbergh LLC

• Professional Counselor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.