Active NPI
Artsoul Therapy LLC
- Professional Counselor
- Royal Oak, MI
National Provider Identifier
1154091494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ARTSOUL THERAPY LLC
- Practice address
- 3327 Rochester Rd
Royal Oak, MI 48073-2850 - Phone
- (248) 382-8551
- NPI assigned
- Sep 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenna Debryn, MA, LPC, ATR
- Title
- Art Therapist and Counselor
- Phone
- (248) 382-8551
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Art Therapist | 221700000X |
Addresses
Primary practice location
3327 Rochester Rd
Royal Oak, MI 48073-2850
Mailing address
3584 W Outer Dr
Detroit, MI 48221-1662
National Provider Directory
National Provider DirectoryLocations
3327 Rochester Rd
Royal Oak, MI 48073
Phone (248) 382-8551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Detroit, MI
- NPI 1164905675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1154091494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 ROCHESTER RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480732850",
"telephone_number": "248-382-8551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTSOUL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-17",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "DEBRYN",
"authorized_official_first_name": "JENNA",
"authorized_official_title_or_position": "ART THERAPIST AND COUNSELOR",
"authorized_official_telephone_number": "248-382-8551",
"authorized_official_credential": "MA, LPC, ATR"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.