Organization Active NPI

Capacity Counseling, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Novi, MI
National Provider Identifier
1366075723
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CAPACITY COUNSELING, PLLC
Practice address
42705 Grand River Ave Ste 201
Novi, MI 48375-1772
Phone
(248) 417-0229
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Lisa Hamburg, LMSW
Title
Clinical Therapist
Phone
(248) 329-3099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

42705 Grand River Ave Ste 201
Novi, MI 48375-1772

Mailing address

42705 Grand River Ave Ste 201
Novi, MI 48375-1772
Phone (248) 329-3099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1366075723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42705 GRAND RIVER AVE STE 201",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751772",
            "telephone_number": "248-329-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42705 GRAND RIVER AVE STE 201",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751772",
            "telephone_number": "248-417-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPACITY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "HAMBURG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "248-329-3099",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.