NPIMap

Organization Active NPI

Advanced Tele-Behavioral Health Services, LLC

  • Clinical Social Worker
  • Carleton, MI
National Provider Identifier
1154948636
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ADVANCED TELE-BEHAVIORAL HEALTH SERVICES, LLC
Practice address
5151 Scofield Carleton Rd
Carleton, MI 48117-9571
Phone
(734) 771-0161
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Marci Heulitt, LMSWNPI 1689156184
Title
Owner
Phone
(734) 771-0161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5151 Scofield Carleton Rd
Carleton, MI 48117-9571

Mailing address

5151 Scofield Carleton Rd
Carleton, MI 48117-9571
Phone (734) 771-0161

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, 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": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1154948636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 SCOFIELD CARLETON RD",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179571",
            "telephone_number": "734-771-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 SCOFIELD CARLETON RD",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179571",
            "telephone_number": "734-771-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TELE-BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "HEULITT",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-771-0161",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carleton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.