Grey Street Counseling and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GREY STREET COUNSELING AND WELLNESS

Practice address

7250 Dixie Hwy Ste 400
Clarkston, MI 48346-5108

Phone

(248) 861-2909

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn ThriftNPI 1801420419

Title

Sole Officer

Phone

(248) 330-5743

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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

• Rebecca G Peterson

  • Clinical Social Worker
  • Clarkston, MI
  • NPI 1730440306
  Medicare reassignment NPD
• Jennifer Lynn Thrift, LPC

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1801420419
  NPD Authorized official
• Emma Kate Dicea, LLMSW

  • Clinical Social Worker
  • Clarkston, MI
  • NPI 1467135368
  NPD
• Amanda Blair Robertson

  • Professional Counselor
  • Clarkston, MI
  • NPI 1982377479
  NPD
• Krysten Chamberlain, LMSW

  • Social Worker
  • Grand Blanc, MI
  • NPI 1326829060
  NPD (past)
• Stephanie Stott, MA, LLPC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1891496816
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1316548100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 DIXIE HWY STE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 DIXIE HWY STE 400",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465108",
            "telephone_number": "248-861-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY STREET COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "THRIFT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE OFFICER",
        "authorized_official_telephone_number": "248-330-5743"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Metro Detroit Senior Assistance LLC
• Bianca Green, NP
• Randall Green, OT
• Gregory P. Derderian D.O., P.C.
• Daniel Scott Gregory, DPT
• Charles A. Griffith, MSW, LMSW
• Vanessa Rose Grover
• Bethany Grupido, RN
• Linda Carole Gualdoni, P.T.
• Madelyn Gueccia

• Mental Health Counselor in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.