Organization Active NPI

Trailblazer Family Counseling PLLC

  • Community/Behavioral Health Agency
  • Milan, MI
National Provider Identifier
1083597397
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 26, 2025

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

Authorized official

Name
Christine Nicole Penwell, LPC, NCCNPI 1215500236
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.