Organization Active NPI

Centered Counseling Services LLC

  • Clinical Social Worker
  • Coloma, MI
National Provider Identifier
1144866906
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTERED COUNSELING SERVICES LLC
Practice address
6572 Red Arrow Hwy Ste 2
Coloma, MI 49038-8700
Phone
(269) 205-3344
Fax
(888) 418-8655
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Santiago Ogando
Title
Manager
Phone
(269) 338-7963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6572 Red Arrow Hwy Ste 2
Coloma, MI 49038-8700

Mailing address

8350 Kephart LN
Berrien Springs, MI 49103-9570
Phone (269) 338-7963

National Provider Directory

National Provider Directory

Locations

6572 Red Arrow Hwy
Ste 2
Coloma, MI 49038
Phone (269) 205-3344

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": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1144866906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 KEPHART LN",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039570",
            "telephone_number": "269-338-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 RED ARROW HWY STE 2",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388700",
            "telephone_number": "269-205-3344",
            "fax_number": "888-418-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "OGANDO",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-338-7963"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coloma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.