Active NPI
Trailblazer Family Counseling PLLC
- Community/Behavioral Health Agency
- Milan, MI
National Provider Identifier
1083597397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRAILBLAZER FAMILY COUNSELING PLLC
- Practice address
- 950 E Arkona Rd
Milan, MI 48160-9770 - Phone
- (615) 630-0550
- NPI assigned
- Jul 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Nicole Penwell, LPC, NCC
- Title
- Owner
- Phone
- (615) 630-0550
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
950 E Arkona Rd
Milan, MI 48160-9770
Mailing address
516 Ideal St
Milan, MI 48160-1415
National Provider Directory
National Provider DirectoryLocations
950 E Arkona Rd
Milan, MI 48160
Phone (615) 630-0550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Milan, MI
- NPI 1215500236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753488000000",
"number": "1083597397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 IDEAL ST",
"city": "MILAN",
"state": "MI",
"postal_code": "481601415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E ARKONA RD",
"city": "MILAN",
"state": "MI",
"postal_code": "481609770",
"telephone_number": "615-630-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAILBLAZER FAMILY COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-26",
"last_updated": "2025-07-26",
"certification_date": "2025-07-26",
"status": "A",
"authorized_official_last_name": "PENWELL",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-630-0550",
"authorized_official_credential": "LPC, NCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.