Organization Active NPI

Prismatic Self Counseling LLC

  • Counseling Psychologist
  • Troy, MI
National Provider Identifier
1437035151
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
PRISMATIC SELF COUNSELING LLC
Practice address
1000 John R Rd Ste 218
Troy, MI 48083-4317
Phone
(947) 225-7757
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Michelle ThorburnNPI 1972282119
Title
Owner/Therapist
Phone
(321) 276-4583

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

1000 John R Rd Ste 218
Troy, MI 48083-4317

Mailing address

276 Valley Stream Dr
Holly, MI 48442-1571
Phone (321) 276-4583

Other practice location 1

276 Valley Stream Dr
Holly, MI 48442-1571
Phone (321) 276-4583

National Provider Directory

National Provider Directory

Locations

1000 John R Rd
Ste 218
Troy, MI 48083
Phone (947) 225-7757

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1437035151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 VALLEY STREAM DR",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421571",
            "telephone_number": "321-276-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 218",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "947-225-7757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Valley Stream Dr",
            "address_purpose": "LOCATION",
            "city": "Holly",
            "state": "MI",
            "postal_code": "484421571",
            "country_code": "US",
            "telephone_number": "321-276-4583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRISMATIC SELF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "THORBURN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "321-276-4583"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.