Active NPI
T.L. Counseling PC
- Professional Counselor
- Rochester Hills, MI
National Provider Identifier
1013487412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryNPI 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.