Julia Pangborn-Harley, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401016692 Issued in MI

Practice address

5716 Michigan Ave # 3000
Detroit, MI 48210-3039

Phone

(313) 963-2266

Fax

(313) 963-2471

NPI assigned

Jun 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1144714890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 BEACONSFIELD AVE APT 2",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302018",
            "telephone_number": "313-405-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 MICHIGAN AVE # 3000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103039",
            "telephone_number": "313-963-2266",
            "fax_number": "313-963-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGBORN-HARLEY",
        "first_name": "JULIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016692",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Panchal, DO
• Paritosh Pandey, M.D
• Hardik Dinesh Pandya, P.T.
• Santosh N Pandya, PHARMACIST
• Aaron You Pang, MD
• Ruel Pangilinan
• Sreehari Baiju Panicker, MD
• Catherine Ann Panik, CAC-II, ICADC
• Amelia Panjwani
• Vanita Panjwani, PHARMD

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.