Cyd Charisse Grace, MA,LLPC,LBSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014502 Issued in MI

Practice address

45660 Schoenherr Rd Ste a
Shelby Township, MI 48315-6033

Phone

(586) 566-3020

Fax

(586) 566-3055

NPI assigned

Jun 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Positive Choices Counseling Group PLLC

  • Professional Counselor
  • Warren, MI
  • NPI 1376272484
  NPD

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1033590286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45660 SCHOENHERR RD STE A",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-566-3020",
            "fax_number": "586-566-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45660 SCHOENHERR RD STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-566-3020",
            "fax_number": "586-566-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "CYD",
        "middle_name": "CHARISSE",
        "credential": "MA,LLPC,LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisa Goshtasbi, DDS
• Rachel Lyn Gosselin, LMSW
• Vanessa Ryan Gosselin
• Carlton Gould
• Grace Community Hospice Care, LLC
• Michael Eugene Graham, DPM
• Merindar J Grant, LPC, LBSW & CAADC
• Heather Graskewicz, PHARMD
• Jennifer Marie Grauert, RBT
• Tina M Graves

• Counselor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.