Organization Active NPI

Nilsson Counseling, LLC

  • Community/Behavioral Health Agency
  • Southfield, MI
National Provider Identifier
1144410549
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801035749 Issued in MI
Legal business name
NILSSON COUNSELING, LLC
Practice address
29895 Greenfield Rd
Suite 104B
Southfield, MI 48076-5867
Phone
(248) 905-5230
Fax
(248) 905-5233
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Leslie Nilsson, LMSW
Title
Licensed Master Social Worker
Phone
(248) 905-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801035749 MI Primary

Addresses

Primary practice location

29895 Greenfield Rd
Suite 104B
Southfield, MI 48076-5867

Mailing address

29895 Greenfield Rd
Suite 104B
Southfield, MI 48076-5867
Phone (248) 905-5230

National Provider Directory

National Provider Directory

Locations

29895 Greenfield Rd
Ste 10
Southfield, MI 48076
Phone (248) 905-5230

29895 Greenfield Rd
Ste 104B
Southfield, MI 48076
Phone (248) 905-5230

29895 Greenfield Rd
Southfield, MI 48076
Phone (248) 672-0143

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1144410549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29895 GREENFIELD RD",
            "address_2": "SUITE 104B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765867",
            "telephone_number": "248-905-5230",
            "fax_number": "248-905-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29895 GREENFIELD RD",
            "address_2": "SUITE 104B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765867",
            "telephone_number": "248-905-5230",
            "fax_number": "248-905-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILSSON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "NILSSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
        "authorized_official_telephone_number": "248-905-5230",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801035749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.