Orchid Core Voc Rehab LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ORCHID CORE VOC REHAB LLC

Practice address

16250 Northland Dr Ste 325
Southfield, MI 48075-5219

Phone

(248) 841-0448

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By 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

Tamara Lynette White, MA, LPC, CRC, CBISNPI 1194250837

Title

Owner/Licensed Professional Counsel

Phone

(313) 588-6671

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Tamara White, MA, LPC, CRC

  • Professional Counselor
  • Livonia, MI
  • NPI 1194250837
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1316555998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27716",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482270716",
            "telephone_number": "313-588-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 325",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755219",
            "telephone_number": "248-841-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID CORE VOC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "313-588-6671",
        "authorized_official_credential": "MA, LPC, CRC, CBIS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194250837",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.sfaxme.com/appLogin.aspx?ReturnUrl=%2f",
            "affiliation": "N",
            "endpointDescription": "SFAX is a HIPPA compliant secure faxing system utilized by health care facilities to securely transmit patient and client data.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Medical Insurance Companies",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Progress Notes",
            "address_1": "16250 Northland Dr Ste 325",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480755219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Southfield, MI
• Providers in Southfield, 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 Jul 20, 2020; 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.