Fellowship Counseling P.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

6801062626 Issued in MI

Legal business name

FELLOWSHIP COUNSELING P.C.

Practice address

1100 Ludington St Ste 306
Escanaba, MI 49829-3500

Phone

(906) 786-4733

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia J Peltz, M.A.,M.S.W.,ACSWNPI 1487731428

Title

President/Counselor

Phone

(906) 786-4733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Patricia J Peltz, M.A., M.S.W., ACSW

  • Clinical Social Worker
  • Escanaba, MI
  • NPI 1487731428
  NPD (past) Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1093907503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST STE 306",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293500",
            "telephone_number": "906-786-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST STE 306",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293500",
            "telephone_number": "906-786-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "PELTZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/COUNSELOR",
        "authorized_official_telephone_number": "906-786-4733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,M.S.W.,ACSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6801062626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8008971370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Escanaba Furniture Inc
• Escanaba Smile Center PLLC
• Travis Edward Fairbanks, DNP
• Family Eye Care Associates of Escanaba, PC
• Fellowship Counseling and Life Coaching, LLC
• Steven Harold Flath, DDS
• Fredrick Family Chiropractic P C
• Dawson Edward Fredrick, DC
• Tonna Guinn Fredrick
• Virginia Freeborn, LLP

• Marriage & Family Therapist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.