Professional Outreach Counseling Services PC

Key facts

NPI: 1295898385
Entity type: Organization (NPI type 2)
Primary specialty: Psychologist 103T00000X
License: 6301009925 (MI)
Legal business name: PROFESSIONAL OUTREACH COUNSELING SERVICES PC
Practice address: 34841 Veterans PLZ
Wayne, MI 48184-1733
Phone: (313) 292-7640
Fax: (313) 292-9270
NPI assigned: Dec 19, 2006
Organization subpart: No

Authorized official

Name: Colin F. King, PHD. LP.
Title: Owner
Phone: (313) 292-7640

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Colin F King, PHD Clinical Psychologist · Wayne, MI · NPI 1144344417

Medicare reassignment Care Compare group NPD MI · PSYCHOLOGIST
Lorna Elaine King, MSW Clinical Social Worker · Taylor, MI · NPI 1295923464

Medicare reassignment Care Compare group NPD MI · SOCIAL WORKER
Anhkiet L Tran, M.D. Geriatric Medicine (Internal Medicine) Physician · Farmington Hills, MI · NPI 1639425879

Medicare reassignment NPD MI

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20070430000662	MI	Part B Supplier - Clinic/Group Practice	9234235771	Receives reassigned benefits from 3 practitioners Practice locations: Wayne, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YA0400X	6801077910	MI
Addiction (Substance Use Disorder) Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YA0400X	6401008900	MI
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	6401007447	MI
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	6401009679	MI
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X	6401008194	MI
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X	6401009106	MI
Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103T00000X	6301009054	MI
Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103T00000X	6301009925	MI	Yes
Clinical Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103TC0700X	009925	MI
School Psychologist Group: 193200000X MULTI-SPECIALTY GROUP	103TS0200X	6301010278	MI
Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	104100000X	6801083794	MI
Clinical Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	6801064655	MI
Clinical Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	6801063516	MI
Dentist Group: 193200000X MULTI-SPECIALTY GROUP	122300000X	2901019243	MI

Addresses

Primary practice location

34841 Veterans PLZ
Wayne, MI 48184-1733

Mailing address

34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640

Other providers in Wayne, MI

All providers in Wayne, MI · Psychologist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.