Organization Active NPI

El Shaddai Counseling & Consultation Services

  • Professional Counselor
  • Monroe, MI
National Provider Identifier
1366753477
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.0600123 Issued in OH
Legal business name
EL SHADDAI COUNSELING & CONSULTATION SERVICES
Practice address
105 E Front St Ste 204
Monroe, MI 48161-2160
Phone
(734) 240-0372
Fax
(888) 277-5583
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Victoria Brown, PCNPI 1700018678
Title
Ceo
Phone
(734) 240-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 091061 OH
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X C.0600123 OH Primary

Addresses

Primary practice location

105 E Front St Ste 204
Monroe, MI 48161-2160

Mailing address

105 E Front St
Monroe, MI 48161-2477
Phone (734) 240-0372

National Provider Directory

National Provider Directory
Tax ID family
El Shaddai Counseling Consultation Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 E Front St
Monroe, MI 48161

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1366753477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E FRONT ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612477",
            "telephone_number": "734-240-0372",
            "fax_number": "888-277-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E FRONT ST STE 204",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612160",
            "telephone_number": "734-240-0372",
            "fax_number": "888-277-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI COUNSELING & CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-240-0372",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "091061",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0600123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.