NPIMap

Organization Active NPI

Full Circle Behavioral Health, PC

Doing business as Full Circle Wellness

  • Counselor
  • Keego Harbor, MI
National Provider Identifier
1043731573
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6301011714 Issued in MI
Legal business name
FULL CIRCLE BEHAVIORAL HEALTH, PC
Doing business as
Full Circle Wellness
Practice address
3467 Orchard Lake Rd
Keego Harbor, MI 48320-1315
Phone
(248) 722-2653
Fax
(248) 682-0612
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Ms. Lori Little, MA, LLP
Title
President/Limited Licensed Psycholo
Phone
(248) 722-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 6301011714 MI Primary

Addresses

Primary practice location

3467 Orchard Lake Rd
Keego Harbor, MI 48320-1315

Mailing address

3467 Orchard Lake Rd
Keego Harbor, MI 48320-1315
Phone (248) 722-2653

Other names 1

  • Full Circle Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Full Circle Psychological Services PC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1043731573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201315",
            "telephone_number": "248-722-2653",
            "fax_number": "248-682-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201315",
            "telephone_number": "248-722-2653",
            "fax_number": "248-682-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT/LIMITED LICENSED PSYCHOLO",
        "authorized_official_telephone_number": "248-722-2653",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6301011714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keego Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.