Organization Active NPI

Inkwell Therapy and Consulting LLC

  • Counselor
  • Chesterfield, MI
National Provider Identifier
1396495750
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
INKWELL THERAPY AND CONSULTING LLC
Practice address
51382 Gratiot Ave # 1003
Chesterfield, MI 48051-2035
Phone
(586) 322-4927
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Tierra Emerson, LMSWNPI 1780921932
Title
Owner/LMSW
Phone
(586) 322-4927

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

51382 Gratiot Ave # 1003
Chesterfield, MI 48051-2035

Mailing address

51382 Gratiot Ave # 1003
Chesterfield, MI 48051-2035
Phone (586) 322-4927

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": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1396495750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51382 GRATIOT AVE # 1003",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512035",
            "telephone_number": "586-322-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51382 GRATIOT AVE # 1003",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512035",
            "telephone_number": "586-322-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INKWELL THERAPY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_title_or_position": "OWNER/LMSW",
        "authorized_official_telephone_number": "586-322-4927",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.