Organization Active NPI

Umbrellex Behavioral Health Services

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1144723404
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UMBRELLEX BEHAVIORAL HEALTH SERVICES
Practice address
13854 Lakeside Cir Ste 255
Sterling Heights, MI 48313-1443
Phone
(248) 206-5787
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Bianca Wilson, LMSW, SSWNPI 1770031213
Title
Co Owner
Phone
(248) 206-5787

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

13854 Lakeside Cir Ste 255
Sterling Heights, MI 48313-1443

Mailing address

13854 Lakeside Cir Ste 255
Sterling Heights, MI 48313-1443
Phone (248) 206-5787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180613003178 MI Part B Supplier - Clinic/Group Practice 9537414669 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

13854 Lakeside Cir
Ste 255
Sterling Heights, MI 48313
Phone (248) 206-5787

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1144723404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 255",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131443",
            "telephone_number": "248-206-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 255",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131443",
            "telephone_number": "248-206-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLEX BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "248-206-5787",
        "authorized_official_credential": "LMSW, SSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Dec 14, 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.

Verify at the official NPI Registry.