Organization Active NPI

Pase & Associates Counseling Center LLC

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1457803306
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087468 Issued in MI
Legal business name
PASE & ASSOCIATES COUNSELING CENTER LLC
Practice address
18444 W 10 Mile Rd Ste 200
Southfield, MI 48075-2626
Phone
(248) 702-4145
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mrs. Beth Lanette Baker Callen, LMSWNPI 1740391135
Title
Sole Member / Authorized Offical
Phone
(248) 702-4145

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801087468 MI Primary

Addresses

Primary practice location

18444 W 10 Mile Rd Ste 200
Southfield, MI 48075-2626

Mailing address

19785 W 12 Mile Rd PMB 553
Southfield, MI 48076-2584
Phone (248) 702-4145

Other names 1

  • Grateful Hearts MIHP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171205002035 MI Part B Supplier - Clinic/Group Practice 2860759529 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

15101 W McNichols Rd
Detroit, MI 48235
Phone (313) 752-3800

17029 W 13 Mile Rd
Southfield, MI 48076
Phone (248) 702-4145

18444 W 10 Mile Rd
Ste 200
Southfield, MI 48075
Phone (248) 702-4145

22200 W 11 Mile Rd
Unit 387
Southfield, MI 48037

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1457803306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD PMB 553",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "248-702-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 W 10 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752626",
            "telephone_number": "248-702-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASE & ASSOCIATES COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "BAKER CALLEN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "SOLE MEMBER / AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "248-702-4145",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grateful Hearts MIHP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grateful Hearts MIHP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.