Greenwood Professional Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GREENWOOD PROFESSIONAL COUNSELING

Practice address

28119 Joan
St. Clair Shores, MI 48081

Phone

(586) 662-1406

NPI assigned

Nov 3, 2023

Organization subpart

No

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

Authorized official

Name

Michael T Desmarais, MA, CPC

Title

Owner/Operator

Phone

(586) 662-1406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1447023213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28119 JOAN",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-662-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28119 JOAN",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-662-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "DESMARAIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "586-662-1406",
        "authorized_official_credential": "MA, CPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.