Organization Active NPI

Coordinated Counseling Services LLC

  • Counseling Psychologist
  • Detroit, MI
National Provider Identifier
1295400828
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
COORDINATED COUNSELING SERVICES LLC
Practice address
601 Washington Blvd
Detroit, MI 48226-3130
Phone
(800) 847-7240
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Dennis Rice, MBA
Title
President
Phone
(800) 847-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

601 Washington Blvd
Detroit, MI 48226-3130

Mailing address

601 Washington Blvd
Detroit, MI 48226-3130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1295400828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263130",
            "telephone_number": "800-847-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-847-7240",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.