Organization Active NPI

Enz Counseling Services LLC

  • Clinical Social Worker
  • Lake Odessa, MI
National Provider Identifier
1144801283
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ENZ COUNSELING SERVICES LLC
Practice address
911 4TH Ave Ste 104
Lake Odessa, MI 48849-1038
Phone
(616) 890-5688
NPI assigned
Apr 20, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Erica Enz, LMSW
Title
Owner
Phone
(616) 890-5688

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512001608 MI Part B Supplier - Clinic/Group Practice 5597174110 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Odessa, MI

National Provider Directory

National Provider Directory

Locations

911 4th Ave
Ste 104
Lake Odessa, MI 48849
Phone (616) 210-3300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

911 4TH Ave Ste 104
Lake Odessa, MI 48849-1038

Mailing address

411 E Blair St
Hastings, MI 49058-1502
Phone (616) 890-5688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2021.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1144801283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E BLAIR ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581502",
            "telephone_number": "616-890-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 4TH AVE STE 104",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491038",
            "telephone_number": "616-890-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENZ COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-11",
        "status": "A",
        "authorized_official_last_name": "ENZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-890-5688",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Odessa, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.