Organization Active NPI

Fieldstone Counseling & Wellness Center PLLC

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1447880265
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FIELDSTONE COUNSELING & WELLNESS CENTER PLLC
Practice address
9191 Dixie Hwy
Clarkston, MI 48348-4248
Phone
(248) 343-8455
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Megan McClain
Title
Office Manager
Phone
(248) 249-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9191 Dixie Hwy
Clarkston, MI 48348-4248

Mailing address

2494 Lansbury Dr
Waterford, MI 48329-2322
Phone (248) 343-8455

Other identifiers 1

IdentifierTypeStateIssuer
1720124308OtherMINPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly@fieldstonecounseling.com

National Provider Directory

National Provider Directory

Locations

9191 Dixie Hwy
Clarkston, MI 48348
Phone (248) 343-8455

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1447880265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 LANSBURY DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292322",
            "telephone_number": "248-343-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484248",
            "telephone_number": "248-343-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDSTONE COUNSELING & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-249-1520"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720124308",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@fieldstonecounseling.com",
            "affiliation": "N",
            "address_1": "2494 Lansbury Dr",
            "city": "Waterford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483292322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.