Komraus Compassionate Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007208 Issued in MI

Legal business name

KOMRAUS COMPASSIONATE COUNSELING PLLC

Practice address

47100 Schoenherr Rd
Ste B
Shelby TWP, MI 48315-4716

Phone

(586) 243-6655

Fax

(586) 737-7057

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Bernice Eleanor Komraus, LPC CAADC

Title

President

Phone

(586) 243-6655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernie Eleanor Komraus, LPC, CAC II

  • Mental Health Counselor
  • Pontiac, MI
  • NPI 1447271424
  Medicare reassignment NPD

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1053748814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 SCONE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981734",
            "telephone_number": "586-243-6655",
            "fax_number": "586-737-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD",
            "address_2": "STE B",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154716",
            "telephone_number": "586-243-6655",
            "fax_number": "586-737-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMRAUS COMPASSIONATE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "KOMRAUS",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "ELEANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-243-6655",
        "authorized_official_credential": "LPC CAADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P. Murrell, D.D.S., P.C.
• Atheel Kinaia
• Kimberly Sue Klimek, PT
• Marcia Elizabeth Kling, M.D.
• Jennifer L Knaack, CMT
• Jasmine Koussa, LPC
• Jacqueline Kromer
• KSS of Shelby LLC
• Puja Kumari, PTA
• Konnor Kuppe

• Professional Counselor in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.