Inneressence Counseling and Clinical Hypnotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNERESSENCE COUNSELING AND CLINICAL HYPNOTHERAPY

Practice address

380 N Old Woodward Ave Ste 156
Birmingham, MI 48009-5307

Phone

(248) 827-5583

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Jean Simon, LPC, C.HT

Title

Owner/Professional Counselor

Phone

(248) 827-5583

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1063901833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18465 SOUTH DR APT 173",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761133",
            "telephone_number": "248-470-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N OLD WOODWARD AVE STE 156",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095307",
            "telephone_number": "248-827-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERESSENCE COUNSELING AND CLINICAL HYPNOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "248-827-5583",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, C.HT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.