NPIMap

Organization Active NPI

Michigan Institute of Behavioral Health

  • Mental Health Counselor
  • Westland, MI
National Provider Identifier
1316374705
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401011816 Issued in MI
Legal business name
MICHIGAN INSTITUTE OF BEHAVIORAL HEALTH
Practice address
37630 Colonial Dr
Westland, MI 48185-7596
Phone
(734) 658-8088
NPI assigned
Oct 1, 2013
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Ms. Lisa Tesner, LLPC
Title
Clinical Supervisor/LPC/Owner
Phone
(734) 658-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401011816 MI Primary

Addresses

Primary practice location

37630 Colonial Dr
Westland, MI 48185-7596

Mailing address

37630 Colonial Dr
Westland, MI 48185-7596
Phone (734) 658-8088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1316374705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37630 COLONIAL DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857596",
            "telephone_number": "734-658-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37630 COLONIAL DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857596",
            "telephone_number": "734-658-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE OF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "TESNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR/LPC/OWNER",
        "authorized_official_telephone_number": "734-658-8088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.