Organization Active NPI

Behavioral Health Consultants, LLC

  • Community/Behavioral Health Agency
  • Livonia, MI
National Provider Identifier
1275085706
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801089011 Issued in MI
Legal business name
BEHAVIORAL HEALTH CONSULTANTS, LLC
Practice address
39293 Plymouth Rd
Suite 109a
Livonia, MI 48150-1060
Phone
(334) 201-5052
NPI assigned
Nov 1, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Nicole Vanessa Vaughn-Jackson, LMSW
Title
Owner
Phone
(334) 201-5052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801089011 MI Primary

Addresses

Primary practice location

39293 Plymouth Rd
Suite 109a
Livonia, MI 48150-1060

Mailing address

39293 Plymouth Rd
Suite 109a
Livonia, MI 48150-1060

National Provider Directory

National Provider Directory

Locations

39293 Plymouth Rd
Ste 109A
Livonia, MI 48150
Phone (734) 386-0155

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1275085706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39293 PLYMOUTH RD",
            "address_2": "SUITE 109A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39293 PLYMOUTH RD",
            "address_2": "SUITE 109A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501060",
            "telephone_number": "334-201-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "VAUGHN-JACKSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-201-5052",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801089011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.