Organization Active NPI

T.L. Counseling PC

  • Professional Counselor
  • Rochester Hills, MI
National Provider Identifier
1013487412
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
T.L. COUNSELING PC
Practice address
1500 Walton Blvd.
Rochester Hills, MI 48309
Phone
(248) 652-6640
Fax
(248) 652-3914
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Terri Jerue Wagner, LPC
Title
Owner/Cousselor
Phone
(248) 652-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1500 Walton Blvd.
Rochester Hills, MI 48309

Mailing address

1500 Walton Blvd.
Rochester Hills, MI 48309
Phone (248) 652-6640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1013487412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALTON BLVD.",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-652-6640",
            "fax_number": "248-652-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALTON BLVD.",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-652-6640",
            "fax_number": "248-652-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.L. COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "JERUE",
        "authorized_official_title_or_position": "OWNER/COUSSELOR",
        "authorized_official_telephone_number": "248-652-6640",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.