Organization Active NPI

Purposeful Intentions Counseling Center, PLLC

  • Counselor
  • Swartz Creek, MI
National Provider Identifier
1417621491
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PURPOSEFUL INTENTIONS COUNSELING CENTER, PLLC
Practice address
6199 Miller Rd Ste a
Swartz Creek, MI 48473-1585
Phone
(810) 207-5759
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Linda B Spaine, LPCNPI 1881203651
Title
LPC
Phone
(248) 470-5791

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

6199 Miller Rd Ste a
Swartz Creek, MI 48473-1585

Mailing address

6199 Miller Rd Ste a
Swartz Creek, MI 48473-1585
Phone (810) 207-5759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724001730 MI Part B Supplier - Clinic/Group Practice 4688110877 Receives reassigned benefits from 1 practitioner
Practice locations: Swartz Creek, MI

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1417621491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-207-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-207-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL INTENTIONS COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "SPAINE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "248-470-5791",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swartz Creek, MI

Sources for this page

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