Organization Active NPI

Transitions for Life Counseling Services PLLC

  • Clinical Social Worker
  • Shelby TWP, MI
National Provider Identifier
1386837078
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801077273 Issued in MI
Legal business name
TRANSITIONS FOR LIFE COUNSELING SERVICES PLLC
Practice address
51219 Nardone Ave
Shelby TWP, MI 48316-4632
Phone
(586) 994-6939
Fax
(586) 843-3603
NPI assigned
Aug 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

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

Authorized official

Name
Mrs. Bernadette M Wixson, LMSW
Title
President
Phone
(586) 994-6939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801077273 MI Primary

Addresses

Primary practice location

51219 Nardone Ave
Shelby TWP, MI 48316-4632

Mailing address

PO Box 183136
Shelby TWP, MI 48318-3136
Phone (586) 994-6939

National Provider Directory

National Provider Directory

Locations

16950 19 Mile Rd
Ste 3F
Clinton Twp, MI 48038
Phone (586) 665-0198

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1386837078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183136",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483183136",
            "telephone_number": "586-994-6939",
            "fax_number": "586-843-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51219 NARDONE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483164632",
            "telephone_number": "586-994-6939",
            "fax_number": "586-843-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS FOR LIFE COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "WIXSON",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-994-6939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.