NPIMap

Organization Active NPI

Facilitating Change, PLLC

  • Professional Counselor
  • Macomb, MI
National Provider Identifier
1164918744
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6801077223 Issued in MI
Legal business name
FACILITATING CHANGE, PLLC
Practice address
47567 Dennis Baert Dr
Macomb, MI 48044-3063
Phone
(586) 292-7214
NPI assigned
Jul 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Karen Wetzel, LMSW,ACSWNPI 1265925788
Title
Clinical Social Worker
Phone
(586) 292-7214

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 6801077223 MI Primary

Addresses

Primary practice location

47567 Dennis Baert Dr
Macomb, MI 48044-3063

Mailing address

47567 Dennis Baert Dr
Macomb, MI 48044-3063

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": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1164918744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47567 DENNIS BAERT DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47567 DENNIS BAERT DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443063",
            "telephone_number": "586-292-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACILITATING CHANGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "586-292-7214",
        "authorized_official_credential": "LMSW,ACSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6801077223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.