Active NPI
Guidance Center
- Case Management Agency
- Southgate, MI
National Provider Identifier
1396120556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 6801016587
- Legal business name
- GUIDANCE CENTER
- Practice address
- 13101 Allen Rd
Southgate, MI 48195-2216 - Phone
- (734) 785-7700
- NPI assigned
- Jul 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Derrielle Rene Smith, LMSW
- Title
- Idd Autism Benefit
- Phone
- (734) 785-7727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 6801016587 | MI | Primary |
Addresses
Primary practice location
13101 Allen Rd
Southgate, MI 48195-2216
Mailing address
33635 Pondview Cir
Livonia, MI 48152-1471
Phone (313) 516-3831
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1396120556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33635 PONDVIEW CIR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521471",
"telephone_number": "313-516-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 ALLEN RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952216",
"telephone_number": "734-785-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDANCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DERRIELLE",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "IDD AUTISM BENEFIT",
"authorized_official_telephone_number": "734-785-7727",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "6801016587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.