Organization Active NPI

Authentic Self Therapeutic Services, LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1508521378
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AUTHENTIC SELF THERAPEUTIC SERVICES, LLC
Practice address
4200 Rochester Rd Apt 207
Royal Oak, MI 48073-2736
Phone
(248) 206-5919
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Ms. Hope Marie Doucet, LMSW
Title
Owner/Clinical Therapist
Phone
(248) 206-5919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4200 Rochester Rd Apt 207
Royal Oak, MI 48073-2736

Mailing address

4200 Rochester Rd Apt 207
Royal Oak, MI 48073-2736
Phone (248) 206-5919

National Provider Directory

National Provider Directory

Locations

1938 Burdette St
Ste 223
Ferndale, MI 48220
Phone (248) 206-5919

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": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1508521378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 ROCHESTER RD APT 207",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732736",
            "telephone_number": "248-206-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 ROCHESTER RD APT 207",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732736",
            "telephone_number": "248-206-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC SELF THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "248-206-5919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.