Organization Active NPI

MDS Devine Counseling Services

  • Community/Behavioral Health Agency
  • Southfield, MI
National Provider Identifier
1154861367
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801059552 Issued in MI
Legal business name
MDS DEVINE COUNSELING SERVICES
Practice address
17336 W 12 Mile Rd
103
Southfield, MI 48076-2113
Phone
(248) 796-1217
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Marilyn Denise Sanders, LCSW, LMSWNPI 1659385755
Title
Clinical Social Worker/ Proprietor
Phone
(248) 796-1217

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
Community/Behavioral Health Agency 251S00000X 6801059552 MI Primary

Addresses

Primary practice location

17336 W 12 Mile Rd
103
Southfield, MI 48076-2113

Mailing address

9560 Lenore
Redford, MI 48239-1664
Phone (248) 796-1217

National Provider Directory

National Provider Directory

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": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1154861367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 LENORE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391664",
            "telephone_number": "248-796-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 W 12 MILE RD",
            "address_2": "103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762113",
            "telephone_number": "248-796-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS DEVINE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/ PROPRIETOR",
        "authorized_official_telephone_number": "248-796-1217",
        "authorized_official_credential": "LCSW,  LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801059552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.