Organization Active NPI

Silver Circle Counseling and Therapeutic Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
National Provider Identifier
1013409952
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SILVER CIRCLE COUNSELING AND THERAPEUTIC SERVICES, PLLC
Practice address
16477 Andover CT
Clinton TWP, MI 48035-1100
Phone
(586) 206-9270
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Catherine Mary Stanziola, LMSWNPI 1598260366
Title
Owner
Phone
(586) 206-9270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

16477 Andover CT
Clinton TWP, MI 48035-1100

Mailing address

16477 Andover CT
Clinton TWP, MI 48035-1100
Phone (586) 206-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221119000193 MI Part B Supplier - Clinic/Group Practice 3476921693 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

53200 Van Dyke Ave
Ste 100
Shelby Township, MI 48316
Phone (586) 206-9270

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1013409952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16477 ANDOVER CT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351100",
            "telephone_number": "586-206-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16477 ANDOVER CT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351100",
            "telephone_number": "586-206-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CIRCLE COUNSELING AND THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "STANZIOLA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-206-9270",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.