Active NPI
Essential Matters
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1538822754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ESSENTIAL MATTERS
- Practice address
- 2425 S Linden Rd Ste D138
Flint, MI 48532-5482 - Phone
- (810) 637-1724
- NPI assigned
- Oct 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tia Coles, LMSW
- Title
- Owner
- Phone
- (810) 637-1724
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2425 S Linden Rd Ste D138
Flint, MI 48532-5482
Mailing address
1943 Carmanbrook Pkwy
Flint, MI 48507-1445
Phone (810) 637-1724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211019003295 | MI | Part B Supplier - Clinic/Group Practice | 3476941733 | Practice locations: Flint, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1538822754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 CARMANBROOK PKWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485071445",
"telephone_number": "810-637-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S LINDEN RD STE D138",
"city": "FLINT",
"state": "MI",
"postal_code": "485325482",
"telephone_number": "810-637-1724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL MATTERS",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "COLES",
"authorized_official_first_name": "TIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-637-1724",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.