Organization Active NPI

Cornerstone Community Counseling LLC

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1386370716
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CORNERSTONE COMMUNITY COUNSELING LLC
Practice address
14400 Puritan St
Detroit, MI 48227-2966
Phone
(313) 355-2286
NPI assigned
Jul 27, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Mrs. Mikki Lachelle Mason, LMSW-CNPI 1740631589
Title
Clinical Therapist
Phone
(313) 355-2286

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

14400 Puritan St
Detroit, MI 48227-2966

Mailing address

15499 Braile St
Detroit, MI 48223-1609
Phone (313) 575-8383

National Provider Directory

National Provider Directory

Locations

14400 Puritan St
Detroit, MI 48227
Phone (248) 225-0039

Practitioners & affiliated clinicians

Practitioners 2

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": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1386370716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15499 BRAILE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231609",
            "telephone_number": "313-575-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272966",
            "telephone_number": "313-355-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "313-355-2286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.