Organization Active NPI

Coffee Hour Counseling LLC

  • Mental Health Counselor
  • Taylor, MI
National Provider Identifier
1023833860
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COFFEE HOUR COUNSELING LLC
Practice address
26185 Wick Rd
Taylor, MI 48180-3082
Phone
(313) 615-0005
NPI assigned
Nov 18, 2024
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Dina Veld, LPCNPI 1801398912
Title
Counselor
Phone
(313) 329-3829

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

26185 Wick Rd
Taylor, MI 48180-3082

Mailing address

26185 Wick Rd
Taylor, MI 48180-3082
Phone (313) 615-0005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606003031 MI Part B Supplier - Clinic/Group Practice 2769992981 Receives reassigned benefits from 1 practitioner
Practice locations: Allen Park, MI

National Provider Directory

National Provider Directory

Locations

19306 Ecorse Rd
Ste 202
Allen Park, MI 48101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1023833860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26185 WICK RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803082",
            "telephone_number": "313-615-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26185 WICK RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803082",
            "telephone_number": "313-615-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE HOUR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "VELD",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "313-329-3829",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.