Organization Active NPI

For the Family Counseling Service PLLC

  • Clinical Social Worker
  • Deckerville, MI
National Provider Identifier
1508299207
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090691 Issued in MI
Legal business name
FOR THE FAMILY COUNSELING SERVICE PLLC
Practice address
3466 Main St
Suite 1
Deckerville, MI 48427-7709
Phone
(989) 912-0258
Fax
(810) 539-6358
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Buffie Klee, MSW
Title
Owner
Phone
(989) 912-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801090691 MI Primary

Addresses

Primary practice location

3466 Main St
Suite 1
Deckerville, MI 48427-7709

Mailing address

4022 Parisville Rd
Ruth, MI 48470-9759
Phone (989) 912-0258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1508299207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 PARISVILLE RD",
            "city": "RUTH",
            "state": "MI",
            "postal_code": "484709759",
            "telephone_number": "989-912-0258",
            "fax_number": "810-539-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 MAIN ST",
            "address_2": "SUITE 1",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484277709",
            "telephone_number": "989-912-0258",
            "fax_number": "810-539-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR THE FAMILY COUNSELING SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "KLEE",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-912-0258",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deckerville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.