NPIMap

Organization Active NPI

Collective Wellness Counseling and Consulting

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1093483430
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COLLECTIVE WELLNESS COUNSELING AND CONSULTING
Practice address
108 S Adams St # 981065
Ypsilanti, MI 48197-5459
Phone
(810) 328-3574
NPI assigned
Sep 1, 2021
Organization subpart
Yes
Parent organization
COLLECTIVE WELLNESS COUNSELING AND CONSULTINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Latonya Demps, LCSWNPI 1528521663
Title
Owner/Therapist
Phone
(810) 328-3574

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

108 S Adams St # 981065
Ypsilanti, MI 48197-5459

Mailing address

PO Box 981065
Ypsilanti, MI 48198-1065
Phone (810) 328-3574

Other names 1

  • Collective Wellness Counseling and Consulting Other name

National Provider Directory

National Provider Directory
Part of
Collective Wellness Counseling and Consulting

Locations

120 N Washington Sq
Ste 300
Lansing, MI 48933
Phone (317) 510-0758

Practitioners & affiliated clinicians

Practitioners 3

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": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1093483430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981065",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481981065",
            "telephone_number": "810-328-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S ADAMS ST # 981065",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975459",
            "telephone_number": "810-328-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE WELLNESS COUNSELING AND CONSULTING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLECTIVE WELLNESS COUNSELING AND CONSULTING",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "DEMPS",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "810-328-3574",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collective Wellness Counseling and Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.