Organization Active NPI

SJK Counseling LLC

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1225518251
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SJK COUNSELING LLC
Practice address
22777 Harper Ave Ste 104C
Saint Clair Shores, MI 48080-1800
Phone
(810) 394-1598
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Mr. Steven James Kalbfleisch, LMSWNPI 1225558745
Title
Clinical Social Worker
Phone
(810) 394-1598

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

22777 Harper Ave Ste 104C
Saint Clair Shores, MI 48080-1800

Mailing address

2118 Van Antwerp St
Grosse Pointe Woods, MI 48236-1625
Phone (181) 039-4159

Other practice location 1

22777 Harper Ave Ste 104C
Saint Clair Shores, MI 48080-1800
Phone (810) 394-1598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210002212 MI Part B Supplier - Clinic/Group Practice 2466796982 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe Woods, MI

National Provider Directory

National Provider Directory

Locations

22777 Harper Ave
Ste 104C
Saint Clair Shores, MI 48080
Phone (810) 394-1598

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1225518251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 VAN ANTWERP ST",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361625",
            "telephone_number": "181-039-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 104C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801800",
            "telephone_number": "810-394-1598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22777 Harper Ave Ste 104C",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801800",
            "country_code": "US",
            "telephone_number": "810-394-1598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SJK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "KALBFLEISCH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "810-394-1598",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.