Organization Active NPI

Ekong Counseling Center

  • Adult Mental Health Clinic/Center
  • Southfield, MI
National Provider Identifier
1477736064
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6301015337 Issued in MI
Legal business name
EKONG COUNSELING CENTER
Practice address
29532 Southfield Rd
101
Southfield, MI 48076-2023
Phone
(248) 469-8322
Fax
(248) 423-4249
NPI assigned
Dec 6, 2007
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Lavinia Ruckes Ekong, LMSW
Title
Owner
Phone
(248) 469-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6301015337 MI Primary

Addresses

Primary practice location

29532 Southfield Rd
101
Southfield, MI 48076-2023

Mailing address

29532 Southfield Rd
101
Southfield, MI 48076-2023
Phone (248) 469-8322

Other identifiers 1

IdentifierTypeStateIssuer
0898217OtherBCBS

National Provider Directory

National Provider Directory

Locations

25625 Southfield Rd
Ste 202
Southfield, MI 48075
Phone (248) 569-0100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1477736064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD",
            "address_2": "101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "248-469-8322",
            "fax_number": "248-423-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD",
            "address_2": "101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "248-469-8322",
            "fax_number": "248-423-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKONG COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_middle_name": "RUCKES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-469-8322",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301015337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0898217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2016; 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.