Organization Active NPI

Shoda Counseling Services, LLC

  • Social Worker
  • Southfield, MI
National Provider Identifier
1043626971
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801087296 Issued in MI
Legal business name
SHODA COUNSELING SERVICES, LLC
Practice address
29895 Greenfield Rd Ste 104B
Southfield, MI 48076-5867
Phone
(248) 476-6463
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Diane Shoda, LMSW
Title
Owner
Phone
(248) 476-6463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 6801087296 MI Primary

Addresses

Primary practice location

29895 Greenfield Rd Ste 104B
Southfield, MI 48076-5867

Mailing address

19662 Saint Francis St
Livonia, MI 48152-2533
Phone (248) 476-6463

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1043626971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19662 SAINT FRANCIS ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522533",
            "telephone_number": "248-476-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29895 GREENFIELD RD STE 104B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765867",
            "telephone_number": "248-476-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHODA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "SHODA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-476-6463",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087296",
            "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 Jul 11, 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.