Wrinkles of Wisdom Senior Mental Health Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WRINKLES OF WISDOM SENIOR MENTAL HEALTH SERVICES

Practice address

1063 S State Rd Ste 6
Davison, MI 48423-1900

Phone

(810) 691-0759

Fax

(810) 828-5912

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Pamela LinnNPI 1841681459

Title

Owner

Phone

(801) 691-0759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Linn, LPC

  • Counselor
  • Davison, MI
  • NPI 1841681459
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1245090455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 PLACID CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484557",
            "telephone_number": "810-691-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 6",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-691-0759",
            "fax_number": "810-828-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5080 Baldwin Rd",
            "address_purpose": "LOCATION",
            "city": "Holly",
            "state": "MI",
            "postal_code": "484429364",
            "country_code": "US",
            "telephone_number": "810-691-0759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6535 Placid Ct",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483484557",
            "country_code": "US",
            "telephone_number": "810-691-0759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WRINKLES OF WISDOM SENIOR MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-691-0759"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Davison, MI
• Providers in Davison, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.