NPIMap

Organization Active NPI

The Upper Room Professional Counseling Services PLLC

  • Professional Counselor
  • Plymouth, MI
National Provider Identifier
1144935198
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE UPPER ROOM PROFESSIONAL COUNSELING SERVICES PLLC
Practice address
221 N Sheldon Rd
Plymouth, MI 48170-1524
Phone
(734) 748-4005
Fax
(734) 468-0217
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Pamela Haase, LPCNPI 1568734010
Title
Clinical Director Member
Phone
(734) 748-5988

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

221 N Sheldon Rd
Plymouth, MI 48170-1524

Mailing address

13173 Andover Dr
Plymouth, MI 48170-8208
Phone (734) 748-5988

National Provider Directory

National Provider Directory

Locations

221 N Sheldon Rd
Plymouth, MI 48170
Phone (734) 459-3930

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1144935198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13173 ANDOVER DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481708208",
            "telephone_number": "734-748-5988",
            "fax_number": "734-468-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "734-748-4005",
            "fax_number": "734-468-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UPPER ROOM PROFESSIONAL COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR MEMBER",
        "authorized_official_telephone_number": "734-748-5988",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.