Organization Active NPI

Professional Counseling Service, PLLC

  • Community/Behavioral Health Agency
  • Bad Axe, MI
National Provider Identifier
1215195136
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROFESSIONAL COUNSELING SERVICE, PLLC
Practice address
128 W Huron Ave Ste C
Bad Axe, MI 48413-1177
Phone
(989) 269-5180
Fax
(989) 623-0398
NPI assigned
May 28, 2008
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Tammy EdmondsNPI 1700024452
Title
Therapist/Owner
Phone
(989) 269-5180

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
Community/Behavioral Health Agency 251S00000X L 1121008 MI
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

128 W Huron Ave Ste C
Bad Axe, MI 48413-1177

Mailing address

PO Box 142
Bad Axe, MI 48413-0142
Phone (989) 269-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515000996 MI Part B Supplier - Clinic/Group Practice 9739520206 Receives reassigned benefits from 1 practitioner
Practice locations: Bad Axe, MI

National Provider Directory

National Provider Directory

Locations

128 W Huron Ave
Ste C
Bad Axe, MI 48413
Phone (989) 269-5180

Practitioners & affiliated clinicians

Practitioners 4

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": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1215195136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484130142",
            "telephone_number": "989-269-5180",
            "fax_number": "989-623-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W HURON AVE STE C",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131177",
            "telephone_number": "989-269-5180",
            "fax_number": "989-623-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "989-269-5180"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "L 1121008",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.