NPIMap

Organization Active NPI

Grace Counseling, Inc

  • Professional Counselor
  • Chesterfield, MI
National Provider Identifier
1417328477
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011835 Issued in MI
Legal business name
GRACE COUNSELING, INC
Practice address
34474 23 Mile Rd
Chesterfield, MI 48047-2003
Phone
(586) 996-2273
Fax
(586) 725-6477
NPI assigned
Oct 15, 2015
Last updated
Oct 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Gail Suzanne Sebree, MA, LPCNPI 1154685311
Title
Director / Counselor
Phone
(586) 996-2273

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401011835 MI Primary

Addresses

Primary practice location

34474 23 Mile Rd
Chesterfield, MI 48047-2003

Mailing address

34474 23 Mile Rd
Chesterfield, MI 48047-2003
Phone (586) 996-2273

Other names 1

  • Grace Counseling of Chesterfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509000089 MI Part B Supplier - Clinic/Group Practice 6507143161 Receives reassigned benefits from 11 practitioners
Practice locations: Chesterfield, MI

National Provider Directory

National Provider Directory

Locations

34474 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 996-2273

1953 Military St
Detroit, MI 48209

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1417328477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34474 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472003",
            "telephone_number": "586-996-2273",
            "fax_number": "586-725-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34474 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472003",
            "telephone_number": "586-996-2273",
            "fax_number": "586-725-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "SEBREE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR / COUNSELOR",
        "authorized_official_telephone_number": "586-996-2273",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Counseling of Chesterfield",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.