Organization Active NPI

Ian Goldsbrough LPC, PLC

  • Mental Health Counselor
  • Grosse Pointe, MI
National Provider Identifier
1487412052
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IAN GOLDSBROUGH LPC, PLC
Practice address
741 Lincoln Rd
Grosse Pointe, MI 48230-1221
Phone
(765) 714-6989
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Mr. Ian Goldsbrough, LPCNPI 1750894515
Title
Owner
Phone
(765) 714-6989

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

741 Lincoln Rd
Grosse Pointe, MI 48230-1221

Mailing address

741 Lincoln Rd
Grosse Pointe, MI 48230-1221
Phone (765) 714-6989

National Provider Directory

National Provider Directory

Locations

100 Maple Park Blvd
Ste 141
Saint Clair Shores, MI 48081

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1487412052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 LINCOLN RD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301221",
            "telephone_number": "765-714-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 LINCOLN RD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301221",
            "telephone_number": "765-714-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN GOLDSBROUGH LPC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GOLDSBROUGH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-714-6989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.