NPIMap

Organization Active NPI

Inner Strength Counseling Services PLCC

  • Clinical Psychologist
  • Wixom, MI
National Provider Identifier
1033578596
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015288 Issued in MI
Legal business name
INNER STRENGTH COUNSELING SERVICES PLCC
Practice address
28345 Beck Rd
Suite 305
Wixom, MI 48393-4733
Phone
(586) 879-9579
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Jacqueline A Meyers, PSYDNPI 1124006895
Title
Owner
Phone
(586) 879-9579

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
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301015288 MI Primary

Addresses

Primary practice location

28345 Beck Rd
Suite 305
Wixom, MI 48393-4733

Mailing address

28285 Chatham Rd
Grosse Ile, MI 48138-2008

National Provider Directory

National Provider Directory
Tax ID family
Inner Strength Counseling Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1033578596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28285 CHATHAM RD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 BECK RD",
            "address_2": "SUITE 305",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934733",
            "telephone_number": "586-879-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER STRENGTH COUNSELING SERVICES PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-879-9579",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.