Organization Active NPI

Barroso Consultation and Therapy, LLC

  • Social Worker
  • Chelsea, MI
National Provider Identifier
1568187771
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BARROSO CONSULTATION AND THERAPY, LLC
Practice address
114 N Main St Ste 11
Chelsea, MI 48118-1514
Phone
(734) 531-9490
NPI assigned
Oct 10, 2022
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Leslie Dominique BarrosoNPI 1821590316
Title
Owner
Phone
(207) 460-7020

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
Social Worker 104100000X NU Primary

Addresses

Primary practice location

114 N Main St Ste 11
Chelsea, MI 48118-1514

Mailing address

25 Mill Brook Rd
Bar Harbor, ME 04609-7352

Other practice location 1

25 Mill Brook Rd
Bar Harbor, ME 04609-7352
Phone (207) 460-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221221002238 MI Part B Supplier - Clinic/Group Practice 3779953427 Receives reassigned benefits from 1 practitioner
Practice locations: Chelsea, MI
O20241113003331 ME Part B Supplier - Clinic/Group Practice 3779953427 Receives reassigned benefits from 1 practitioner
Practice locations: Bar Harbor, ME

National Provider Directory

National Provider Directory

Locations

114 S Main St
Ste 11
Chelsea, MI 48118
Phone (734) 531-9490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1568187771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MILL BROOK RD",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046097352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST STE 11",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181514",
            "telephone_number": "734-531-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Mill Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046097352",
            "country_code": "US",
            "telephone_number": "207-460-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARROSO CONSULTATION AND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "BARROSO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-460-7020"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.

Verify at the official NPI Registry.