State of Grace Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STATE OF GRACE COUNSELING PLLC

Practice address

21905 Garrison St
Dearborn, MI 48124-2303

Phone

(734) 210-0231

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline Kuehn, LPCNPI 1154676443

Title

Clinical Therapist

Phone

(734) 210-0231

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline M Kuehn, LPC

  • Counselor
  • Dearborn, MI
  • NPI 1154676443
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1093301947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21905 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242303",
            "telephone_number": "734-210-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21905 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242303",
            "telephone_number": "734-210-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF GRACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "KUEHN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "734-210-0231",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa D Stanton, M.D.
• Julie Staples, MA, LPC
• Starfish Family Services
• Marica Lanaie Starr
• Stars Daycare Academy LLC
• Tom Stathakios, MD
• Natalie Nazark Stefan, MD
• Julie A Stefanek, PT
• Patricia Stefanek
• Donald A Steffen, CRNA

• Professional Counselor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.