Organization Active NPI

Counseling Solutions, LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1053621029
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082431 Issued in MI
Legal business name
COUNSELING SOLUTIONS, LLC
Practice address
415 S West St
Suite 150
Royal Oak, MI 48067-2521
Phone
(248) 341-0710
Fax
(248) 212-0693
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Victoria Theresa Tylenda-Wong, LMSW, DCSW
Title
Sole Proprietor
Phone
(248) 341-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801082431 MI Primary

Addresses

Primary practice location

415 S West St
Suite 150
Royal Oak, MI 48067-2521

Mailing address

1367 Villa Rd
Birmingham, MI 48009-6590
Phone (248) 341-0710

Other identifiers 2

IdentifierTypeStateIssuer
11905475OtherMICAQH UNIVERSAL PROVIDER DATABASE
8008984430OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

26111 W 14 Mile Rd
Ste 200
Franklin, MI 48025
Phone (248) 346-3496

26111 W 14 Mile Rd
Ste 200B
Franklin, MI 48025
Phone (248) 341-0710

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1053621029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 VILLA RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096590",
            "telephone_number": "248-341-0710",
            "fax_number": "248-212-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S WEST ST",
            "address_2": "SUITE 150",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672521",
            "telephone_number": "248-341-0710",
            "fax_number": "248-212-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "TYLENDA-WONG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "248-341-0710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, DCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH UNIVERSAL PROVIDER DATABASE",
            "identifier": "11905475",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8008984430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.