NPIMap

Organization Active NPI

El Shaddai Counseling & Consultation Services

  • Social Worker
  • Monroe, MI
National Provider Identifier
1205964459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801086120 Issued in MI
Legal business name
EL SHADDAI COUNSELING & CONSULTATION SERVICES
Practice address
105 E Front St
Suite 204
Monroe, MI 48161-2477
Phone
(734) 240-0372
Fax
(734) 240-0372
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Victoria Brown
Title
President Ceo
Phone
(734) 240-0372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6801086120 MI Primary

Addresses

Primary practice location

105 E Front St
Suite 204
Monroe, MI 48161-2477

Mailing address

PO Box 2568
Monroe, MI 48161-7568
Phone (734) 240-0372

National Provider Directory

National Provider Directory
Tax ID family
El Shaddai Counseling Consultation Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205964459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481617568",
            "telephone_number": "734-240-0372",
            "fax_number": "734-240-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E FRONT ST",
            "address_2": "SUITE 204",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612477",
            "telephone_number": "734-240-0372",
            "fax_number": "734-240-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI COUNSELING & CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "734-240-0372",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.