Active NPI
Positive Change Counseling PLLC.
- Mental Health Counselor
- Southfield, MI
National Provider Identifier
1275170359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- POSITIVE CHANGE COUNSELING PLLC.
- Practice address
- 18620 W 10 Mile Rd
Southfield, MI 48075-2667 - Phone
- (313) 356-6673
- NPI assigned
- Dec 8, 2019
- 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
- Mrs. Lorin Sandra Burke, LPC
- Title
- Owner
- Phone
- (313) 808-5706
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
18620 W 10 Mile Rd
Southfield, MI 48075-2667
Mailing address
17215 San Juan Dr
Detroit, MI 48221-2622
Phone (313) 808-5706
Other names 1
- Positive Change Counseling PLLC.
National Provider Directory
National Provider DirectoryLocations
18620 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 763-0801
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": "1575763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575763200000",
"number": "1275170359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 SAN JUAN DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212622",
"telephone_number": "313-808-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18620 W 10 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752667",
"telephone_number": "313-356-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE CHANGE COUNSELING PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-08",
"last_updated": "2019-12-08",
"certification_date": "2019-12-08",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "LORIN",
"authorized_official_middle_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-808-5706",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Positive Change Counseling PLLC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.