Organization Active NPI

Pure Reflections Counseling Center

  • Community/Behavioral Health Agency
  • Southfield, MI
National Provider Identifier
1023423985
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801084249 Issued in MI
Legal business name
PURE REFLECTIONS COUNSELING CENTER
Practice address
17344 W 12 Mile Rd
Suite 104
Southfield, MI 48076-2121
Phone
(810) 515-6649
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Nakia Nelson
Title
Private Practitioner
Phone
(810) 515-6649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801084249 MI Primary

Addresses

Primary practice location

17344 W 12 Mile Rd
Suite 104
Southfield, MI 48076-2121

Mailing address

17344 W 12 Mile Rd
Suite 104
Southfield, MI 48076-2121

National Provider Directory

National Provider Directory

Locations

17344 W 12 Mile Rd
Ste 104
Southfield, MI 48076
Phone (248) 943-8860

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1023423985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17344 W 12 MILE RD",
            "address_2": "SUITE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17344 W 12 MILE RD",
            "address_2": "SUITE 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762121",
            "telephone_number": "810-515-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE REFLECTIONS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "PRIVATE PRACTITIONER",
        "authorized_official_telephone_number": "810-515-6649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801084249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.