NPIMap

Organization Active NPI

Choices Counseling Agency

  • Professional Counselor
  • Eastpointe, MI
National Provider Identifier
1376853366
Registry record updated Oct 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009988 Issued in MI
Legal business name
CHOICES COUNSELING AGENCY
Practice address
21741 Rausch Ave
Eastpointe, MI 48021-2537
Phone
(313) 689-5813
NPI assigned
Oct 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2010

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

Authorized official

Name
Ms. Kimberly Childers, LPCNPI 1275836108
Title
Counselor/Owner
Phone
(313) 689-5813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 6401009988 MI Primary

Addresses

Primary practice location

21741 Rausch Ave
Eastpointe, MI 48021-2537

Mailing address

21741 Rausch Ave
Eastpointe, MI 48021-2537
Phone (313) 689-5813

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286582400000",
    "number": "1376853366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21741 RAUSCH AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212537",
            "telephone_number": "313-689-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21741 RAUSCH AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212537",
            "telephone_number": "313-689-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES COUNSELING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-09",
        "last_updated": "2010-10-09",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "313-689-5813",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.