Organization Active NPI

Matthew Bouse Therapy, LLC

Doing business as Bouse Therapy Services

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1285489112
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MATTHEW BOUSE THERAPY, LLC
Doing business as
Bouse Therapy Services
Practice address
202 E Washington St Ste 508
Ann Arbor, MI 48104-2017
Phone
(734) 999-0013
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Matthew Maximino Bouse, LMSWNPI 1578195137
Title
Owner
Phone
(734) 999-0013

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

202 E Washington St Ste 508
Ann Arbor, MI 48104-2017

Mailing address

202 E Washington St Ste 508
Ann Arbor, MI 48104-2017
Phone (734) 999-0013

Other names 1

  • Bouse Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

202 E Washington St
Ste 508
Ann Arbor, MI 48104
Phone (734) 665-0791

120 E Liberty St
Ste 235
Ann Arbor, MI 48104

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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1285489112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST STE 508",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-999-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST STE 508",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-999-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW BOUSE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BOUSE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MAXIMINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-999-0013",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bouse Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.