Organization Active NPI

Impact Counseling Partners of Michigan, LLC

  • Mental Health Counselor
  • Livonia, MI
National Provider Identifier
1063393692
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IMPACT COUNSELING PARTNERS OF MICHIGAN, LLC
Practice address
32231 Schoolcraft Rd Ste 208
Livonia, MI 48150-4312
Phone
(734) 266-6800
Fax
(734) 266-6015
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Vanessa Stafford, LMSWNPI 1194050872
Title
Owner
Phone
(248) 470-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

32231 Schoolcraft Rd Ste 208
Livonia, MI 48150-4312

Mailing address

38086 Lantern Hill CT
Farmington Hills, MI 48331-2896
Phone (248) 470-7004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1063393692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38086 LANTERN HILL CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312896",
            "telephone_number": "248-470-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32231 SCHOOLCRAFT RD STE 208",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504312",
            "telephone_number": "734-266-6800",
            "fax_number": "734-266-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COUNSELING PARTNERS OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-7004",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.