Active NPI
Fieldstone Counseling & Wellness Center PLLC
- Clinical Social Worker
- Clarkston, MI
National Provider Identifier
1447880265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720124308 | Other | MI | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelly@fieldstonecounseling.com |
National Provider Directory
National Provider DirectoryLocations
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.