NPIMap

Organization Active NPI

Envision Change Counseling & Consulting

  • Mental Health Counselor
  • Rochester Hills, MI
National Provider Identifier
1245619949
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012241 Issued in MI
Legal business name
ENVISION CHANGE COUNSELING & CONSULTING
Practice address
2028 Cumberland Rd
Rochester Hills, MI 48307-3702
Phone
(248) 294-0825
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Jamell Jefferson, MA, LPCNPI 1275872079
Title
Owner
Phone
(248) 294-0825

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401012241 MI Primary

Addresses

Primary practice location

2028 Cumberland Rd
Rochester Hills, MI 48307-3702

Mailing address

2028 Cumberland Rd
Rochester Hills, MI 48307-3702

National Provider Directory

National Provider Directory

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": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1245619949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 CUMBERLAND RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 CUMBERLAND RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073702",
            "telephone_number": "248-294-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION CHANGE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "JAMELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-294-0825",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.