Trilliumwood Counseling Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

6801093490 Issued in MI

Legal business name

TRILLIUMWOOD COUNSELING SERVICES

Practice address

4851 County Road 135
MC Millan, MI 49853-9452

Phone

(906) 235-6750

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Alan Evans Fillmore, MS, LMSWNPI 1114322989

Title

Clinical Social Worker

Phone

(906) 235-6750

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Fillmore, LMSW

  • Clinical Social Worker
  • McMillan, MI
  • NPI 1114322989
  NPD (past) Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1306387931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 COUNTY ROAD 135",
            "city": "MCMILLAN",
            "state": "MI",
            "postal_code": "49853",
            "telephone_number": "906-235-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 COUNTY ROAD 135",
            "city": "MC MILLAN",
            "state": "MI",
            "postal_code": "498539452",
            "telephone_number": "906-235-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUMWOOD COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN EVANS",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "906-235-6750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801093490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Fillmore, LMSW
• Maple Ridge Adult Foster Care Home, LLC

• Case Management Agency in McMillan, MI
• Providers in McMillan, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.