Icare Counseling of Michigan, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6801085880 Issued in MI

Legal business name

ICARE COUNSELING OF MICHIGAN, PLLC

Practice address

16950 19 Mile Rd
Suite 3G
Clinton Township, MI 48038-4804

Phone

(586) 292-3397

Fax

(586) 228-8809

NPI assigned

Mar 17, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gale J Williford, LMSWNPI 1407864283

Title

Owner

Phone

(586) 292-3397

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gale Williford, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1407864283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1063838902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD",
            "address_2": "SUITE 3G",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384804",
            "telephone_number": "586-292-3397",
            "fax_number": "586-228-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD",
            "address_2": "SUITE 3G",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384804",
            "telephone_number": "586-292-3397",
            "fax_number": "586-228-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE COUNSELING OF MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "WILLIFORD",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-292-3397",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6801085880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Iacoban
• Davide Iacobelli, MD
• Angela K Ianitelli, PA-C
• Andy Ibrahim
• Elmoataz Ibrahim, M.D.
• Jill Ann Idicula
• Kenneth Michael Ierardi, DO
• Luiza Fernandes Iervolino Lemerise, PT, DPT.
• Elizabeth Ignace, LLMSW
• Lacey Ignasiak

• Adult Mental Health Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.