Sound Mind Christian Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUND MIND CHRISTIAN COUNSELING SERVICES, LLC

Practice address

8401 Puritan St
Detroit, MI 48238-1158

Phone

(734) 470-9941

Fax

(734) 992-5680

NPI assigned

Oct 26, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Aggie Johnson, LMSW-CNPI 1689345720

Title

Owner

Phone

(313) 587-2041

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aggie Rebecca-Maria Johnson, LLMSW

  • Clinical Social Worker
  • Allen Park, MI
  • NPI 1689345720
  NPD Authorized official

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1407678915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381158",
            "telephone_number": "734-470-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381158",
            "telephone_number": "734-470-9941",
            "fax_number": "734-992-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND CHRISTIAN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AGGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-587-2041",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.