Active NPI
Tbi Behavioral & Residential Consultants, LLC
- Community Health Worker
- Wayne, MI
National Provider Identifier
1326791872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- TBI BEHAVIORAL & RESIDENTIAL CONSULTANTS, LLC
- Practice address
- 34841 Veterans PLZ
Wayne, MI 48184-1733 - Phone
- (734) 331-9532
- Fax
- (313) 292-9270
- NPI assigned
- Feb 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Klassen
- Title
- Chief Executive Officer
- Phone
- (734) 331-9532
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Social Worker | 104100000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
34841 Veterans PLZ
Wayne, MI 48184-1733
Mailing address
34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (734) 331-9532
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1326791872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34841 VETERANS PLZ",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841733",
"telephone_number": "734-331-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34841 VETERANS PLZ",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841733",
"telephone_number": "734-331-9532",
"fax_number": "313-292-9270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TBI BEHAVIORAL & RESIDENTIAL CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-03",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "KLASSEN",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "734-331-9532"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.