Organization Active NPI

Turn the Page Counseling Services, PLLC

  • Clinical Psychologist
  • Clinton Township, MI
National Provider Identifier
1558598995
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008884 Issued in MI
Legal business name
TURN THE PAGE COUNSELING SERVICES, PLLC
Practice address
18557 Canal Rd Ste 4
Clinton Township, MI 48038-5821
Phone
(586) 549-1842
NPI assigned
Jun 12, 2009
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Fredericka Arlene Jackson, PH.D.
Title
Owner
Phone
(586) 549-1842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301008884 MI Primary

Addresses

Primary practice location

18557 Canal Rd Ste 4
Clinton Township, MI 48038-5821

Mailing address

PO Box 180817
Utica, MI 48318-0817
Phone (586) 549-1842

Other identifiers 1

IdentifierTypeStateIssuer
1922089531OtherMIINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

18557 Canal Rd
Ste Iv
Clinton Township, MI 48038
Phone (586) 226-8440

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1558598995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180817",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483180817",
            "telephone_number": "586-549-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18557 CANAL RD STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385821",
            "telephone_number": "586-549-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURN THE PAGE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FREDERICKA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-549-1842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922089531",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.