Center for Confidential Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801046764 Issued in MI

Legal business name

CENTER FOR CONFIDENTIAL COUNSELING

Practice address

16000 W 9 Mile Rd
Ste 507
Southfield, MI 48075-4808

Phone

(248) 388-1221

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Leona Mickles-Burns, PHD

Title

Owner

Phone

(248) 388-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1487020582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD",
            "address_2": "STE 507",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD",
            "address_2": "STE 507",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754808",
            "telephone_number": "248-388-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CONFIDENTIAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MICKLES-BURNS",
        "authorized_official_first_name": "LEONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-388-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12561898",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.