Active NPI
Wandering Path Counseling, LLC
- Adult Mental Health Clinic/Center
- Clay, MI
National Provider Identifier
1265017917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WANDERING PATH COUNSELING, LLC
- Practice address
- 7312 Jochar Rd
Clay, MI 48001-3021 - Phone
- (313) 574-9296
- NPI assigned
- Mar 15, 2021
- Last updated
- Nov 17, 2023
- 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
- Jennifer J Gee, LMSW
- Title
- Owner
- Phone
- (313) 574-9296
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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
7312 Jochar Rd
Clay, MI 48001-3021
Mailing address
7332 Jochar Rd
Clay, MI 48001-3021
Phone (586) 500-8080
Other practice location 1
20944 Kenmore Ave
Harper Woods, MI 48225-1723
Phone (313) 574-9296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265017917 | Other | MI | TYPE 2 NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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
- Clay, MI
- NPI 1962832675
-
- Clinical Social Worker
- Clay, MI
- NPI 1114206463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1265017917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7332 JOCHAR RD",
"city": "CLAY",
"state": "MI",
"postal_code": "480013021",
"telephone_number": "586-500-8080",
"fax_number": "586-500-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7312 JOCHAR RD",
"city": "CLAY",
"state": "MI",
"postal_code": "480013021",
"telephone_number": "313-574-9296"
}
],
"practiceLocations": [
{
"address_1": "20944 Kenmore Ave",
"address_purpose": "LOCATION",
"city": "Harper Woods",
"state": "MI",
"postal_code": "482251723",
"country_code": "US",
"telephone_number": "313-574-9296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WANDERING PATH COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-15",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A",
"authorized_official_last_name": "GEE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-574-9296",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI",
"identifier": "1265017917",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clay, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.