NPIMap

Organization Active NPI

Recovery Consultants Incorporated

  • Adult Mental Health Clinic/Center
  • Berkley, MI
National Provider Identifier
1407923501
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
SA0631165 Issued in MI
Legal business name
RECOVERY CONSULTANTS INCORPORATED
Practice address
2710 12 Mile Rd
Berkley, MI 48072
Phone
(248) 543-1090
Fax
(248) 543-0017
NPI assigned
Nov 30, 2006
Last updated
May 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Ms. Kathy Lynn Smaller
Title
Ceo
Phone
(248) 543-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X SA0631165 MI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 631165 MI

Addresses

Primary practice location

2710 12 Mile Rd
Berkley, MI 48072

Mailing address

2710 12 Mile Rd
Berkley, MI 48072-1630
Phone (248) 543-1090

Other identifiers 6

IdentifierTypeStateIssuer
1705289MedicaidMI
630418OtherMIHAP
5671705OtherMIAETNA
20492OtherMIBLUE CROSS BLUE SHIELD OF
321593OtherMIVALUE OPTIONS
9664716OtherMICIGNA

National Provider Directory

National Provider Directory
Tax ID family
Recovery Consultants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2710 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 543-1090

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1407923501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721630",
            "telephone_number": "248-543-1090",
            "fax_number": "248-543-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "48072",
            "telephone_number": "248-543-1090",
            "fax_number": "248-543-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CONSULTANTS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "SMALLER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-543-1090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "SA0631165",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "631165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705289",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "630418",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5671705",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "20492",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "321593",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9664716",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.