NPIMap

Organization Active NPI

Symmetry Counseling LLC

  • Psychologist
  • Dearborn, MI
National Provider Identifier
1407580863
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SYMMETRY COUNSELING LLC
Practice address
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone
(312) 578-9990
Fax
(312) 275-7663
NPI assigned
Jul 12, 2022
Organization subpart
Yes
Parent organization
SYMMETRY COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Estrella Gonzalez
Title
Billing and Intake Supervisor
Phone
(312) 578-9990

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Mailing address

300 W Adams St Ste 514
Chicago, IL 60606-5108
Phone (312) 578-9990

National Provider Directory

National Provider Directory
Tax ID family
Symmetry Counseling LLC8 organizations share this tax ID, including this one
Part of
Symmetry Counseling LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1407580863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065108",
            "telephone_number": "312-578-9990",
            "fax_number": "312-275-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "312-578-9990",
            "fax_number": "312-275-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYMMETRY COUNSELING LLC",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_title_or_position": "BILLING AND INTAKE SUPERVISOR",
        "authorized_official_telephone_number": "312-578-9990"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.