NPIMap

Organization Active NPI

Interpersonal Growth Counseling, PLLC.

  • Professional Counselor
  • Plymouth, MI
National Provider Identifier
1174064968
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INTERPERSONAL GROWTH COUNSELING, PLLC.
Practice address
1031 S Main St
Plymouth, MI 48170-2022
Phone
(734) 359-5500
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Mrs. Kelly L Lindsay, OWNER, MA, LPCNPI 1972048205
Title
Licensed Professional Counselor
Phone
(734) 658-3050

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MI Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1031 S Main St
Plymouth, MI 48170-2022

Mailing address

1031 S Main St
Plymouth, MI 48170-2022
Phone (734) 359-5500

National Provider Directory

National Provider Directory

Locations

1031 S Main St
Plymouth, MI 48170
Phone (734) 359-5500

Practitioners & affiliated clinicians

Practitioners 5

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1174064968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702022",
            "telephone_number": "734-359-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702022",
            "telephone_number": "734-359-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERPERSONAL GROWTH COUNSELING, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "734-658-3050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER, MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 3, 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.

Verify at the official NPI Registry.