NPIMap

Organization Active NPI

Elshaddai Counseling & Consultation Services

  • Professional Counselor
  • Monroe, MI
National Provider Identifier
1033340526
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
L1532194 Issued in MI
Legal business name
ELSHADDAI COUNSELING & CONSULTATION SERVICES
Practice address
105 E Front St
Suite 204
Monroe, MI 48161-2477
Phone
(734) 240-0372
Fax
(734) 481-0090
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Ms. Victoria Brown, MA PHDCNPI 1700018678
Title
President/Ceo
Phone
(734) 240-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X L1576978 MI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X L1532194 MI Primary

Addresses

Primary practice location

105 E Front St
Suite 204
Monroe, MI 48161-2477

Mailing address

105 E Front St
Suite 204
Monroe, MI 48161-2477
Phone (734) 240-0372

National Provider Directory

National Provider Directory
Tax ID family
El Shaddai Counseling Consultation Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1033340526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E FRONT ST",
            "address_2": "SUITE 204",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612477",
            "telephone_number": "734-240-0372",
            "fax_number": "734-481-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E FRONT ST",
            "address_2": "SUITE 204",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612477",
            "telephone_number": "734-240-0372",
            "fax_number": "734-481-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSHADDAI COUNSELING & CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "734-240-0372",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA PHDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1576978",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1532194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.