Organization Active NPI

Halo Christian Counseling Center LLC

  • Mental Health Counselor
  • Farmington Hills, MI
National Provider Identifier
1083130603
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HALO CHRISTIAN COUNSELING CENTER LLC
Practice address
26105 Orchard Lake Rd Ste 309
Farmington Hills, MI 48334-4510
Phone
(313) 414-8119
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Mr. Jamell Jeffeson, MA, LPC
Title
Owner
Phone
(313) 414-8119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MI Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

26105 Orchard Lake Rd Ste 309
Farmington Hills, MI 48334-4510

Mailing address

26105 Orchard Lake Rd Ste 309
Farmington Hills, MI 48334-4510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1083130603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD STE 309",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD STE 309",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344510",
            "telephone_number": "313-414-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO CHRISTIAN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "JEFFESON",
        "authorized_official_first_name": "JAMELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-414-8119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.