Active NPI
Brittany King
- Counselor
- Wayne, MI
National Provider Identifier
1104384486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401017059
- Practice address
- 34841 Veterans PLZ
Wayne, MI 48184-1733 - Phone
- (313) 292-7640
- Fax
- (313) 292-9270
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401017059 | MI | Primary |
Addresses
Primary practice location
34841 Veterans PLZ
Wayne, MI 48184-1733
Mailing address
34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017059 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1104384486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34841 VETERANS PLZ",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841733",
"telephone_number": "313-292-7640",
"fax_number": "313-292-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34841 VETERANS PLZ",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841733",
"telephone_number": "313-292-7640",
"fax_number": "313-292-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401017059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.