Organization Active NPI

No Mud No Lotus Counseling & Psychotherapy LLC

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1104374800
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094276 Issued in MI
Legal business name
NO MUD NO LOTUS COUNSELING & PSYCHOTHERAPY LLC
Practice address
27620 Farmington Rd Ste 105
Farmington Hills, MI 48334-3367
Phone
(248) 660-9870
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Kristen Chapman, LMSWNPI 1861743064
Title
Owner
Phone
(248) 660-9870

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801094276 MI Primary

Addresses

Primary practice location

27620 Farmington Rd Ste 105
Farmington Hills, MI 48334-3367

Mailing address

11457 Lucerne
Redford, MI 48239-2281
Phone (248) 660-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206000991 MI Part B Supplier - Clinic/Group Practice 4789964925 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

27620 Farmington Rd
Ste 105
Farmington Hills, MI 48334
Phone (248) 660-9870

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": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1104374800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11457 LUCERNE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392281",
            "telephone_number": "248-660-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE 105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343367",
            "telephone_number": "248-660-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO MUD NO LOTUS COUNSELING & PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-660-9870",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.