Active NPI
Care Counseling Solutions LLC
- Clinical Social Worker
- Sterling Heights, MI
National Provider Identifier
1215348529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093024
- Legal business name
- CARE COUNSELING SOLUTIONS LLC
- Practice address
- 11945 19 Mile Rd
Sterling Heights, MI 48313 - Phone
- (248) 978-6433
- NPI assigned
- May 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Krystal Mason Davis, LMSW
- Title
- Clinician/Owner of Care Counseling
- Phone
- (248) 978-6433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093024 | MI | Primary |
Addresses
Primary practice location
11945 19 Mile Rd
Sterling Heights, MI 48313
Mailing address
11945 19 Mile Rd
Sterling Heights, MI 48313
Phone (248) 978-6433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801093024 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
3523 Cass Ave
Detroit, MI 48201
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.
-
- Clinical Social Worker
- Detroit, MI
- NPI 1679850713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601337600000",
"number": "1215348529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 19 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48313",
"telephone_number": "248-978-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11945 19 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48313",
"telephone_number": "248-978-6433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE COUNSELING SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-09",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "MASON",
"authorized_official_title_or_position": "CLINICIAN/OWNER OF CARE COUNSELING",
"authorized_official_telephone_number": "248-978-6433",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6801093024",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.