Active NPI
Paradise Art Therapy Center LLC
- Professional Counselor
- Sterling Heights, MI
National Provider Identifier
1114612470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- PARADISE ART THERAPY CENTER LLC
- Practice address
- 12227 Polara Dr
Sterling Heights, MI 48312-4072 - Phone
- (248) 342-6541
- NPI assigned
- Apr 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sydney Paradise Tremont, LPC, ATR-BC
- Title
- Ceo
- Phone
- (248) 342-6541
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Art Therapist | 221700000X |
Addresses
Primary practice location
12227 Polara Dr
Sterling Heights, MI 48312-4072
Mailing address
7007 16 Mile Rd Unit 314
Sterling Heights, MI 48311-7056
Phone (248) 342-6541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7007 16 Mile Rd
Unit 314
Sterling Heights, MI 48311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Ferndale, MI
- NPI 1609240373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1114612470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 16 MILE RD UNIT 314",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483117056",
"telephone_number": "248-342-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12227 POLARA DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483124072",
"telephone_number": "248-342-6541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE ART THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "TREMONT",
"authorized_official_first_name": "SYDNEY",
"authorized_official_middle_name": "PARADISE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-342-6541",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC, ATR-BC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.