Expressions Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EXPRESSIONS WELLNESS CENTER

Practice address

19766 Kemp St
Clinton Township, MI 48035-3481

Phone

(313) 979-1010

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Karen A Gibson, LPCNPI 1033251145

Title

Therapist

Phone

(313) 979-1010

Specialties & licenses 1

Addresses

Practitioners 1

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

• Karen Ann Gibson, LPC

  • Mental Health Counselor
  • Sterling Heights, MI
  • NPI 1033251145
  NPD (past) Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1144868324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66427",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666427",
            "telephone_number": "313-979-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19766 KEMP ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353481",
            "telephone_number": "313-979-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "313-979-1010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelynann Home Care Agency LLC
• Vesna Evkoska, DO
• Evolve Chiropractic
• Exacta Dental Products, Inc.
• Express Visiting Physicians Inc.
• Eyeglasses Online Direct
• Daniel Amaobi Ezeike
• Face and Skin LLC
• Fagelman Eyewear LTD
• Jerry S Fagelman, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.