NPIMap

Organization Active NPI

Ypsilanti Center for the Family

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1457776502
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078232 Issued in MI
Legal business name
YPSILANTI CENTER FOR THE FAMILY
Practice address
32 N Washington St
Suite 2
Ypsilanti, MI 48197-2662
Phone
(734) 660-0661
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Janet Okagbue-ReavesNPI 1427270354
Title
Owner
Phone
(734) 660-0661

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6801078232 MI
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6801078232 MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801078232 MI Primary

Addresses

Primary practice location

32 N Washington St
Suite 2
Ypsilanti, MI 48197-2662

Mailing address

32 N Washington St
Suite 2
Ypsilanti, MI 48197-2662
Phone (734) 660-0661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140702000549 MI Part B Supplier - Clinic/Group Practice 8123243342 Receives reassigned benefits from 3 practitioners
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Locations

32 N Washington St
Ste 14C
Ypsilanti, MI 48197
Phone (734) 209-5444

Practitioners & affiliated clinicians

Practitioners 4

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": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1457776502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972662",
            "telephone_number": "734-660-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972662",
            "telephone_number": "734-660-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YPSILANTI CENTER FOR THE FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "OKAGBUE-REAVES",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-660-0661"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801078232",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801078232",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.