NPIMap

Organization Active NPI

Clinton Counseling Center

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
National Provider Identifier
1568795599
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L1610877 Issued in MI
Legal business name
CLINTON COUNSELING CENTER
Practice address
2 Crocker Blvd
Mount Clemens, MI 48043-2528
Phone
(586) 468-3021
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Mr. Jeffrey Oldham
Title
Executive Director
Phone
(586) 463-7079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L1610877 MI Primary

Addresses

Primary practice location

2 Crocker Blvd
Mount Clemens, MI 48043-2528

Mailing address

2 Crocker Blvd
Mount Clemens, MI 48043-2528

National Provider Directory

National Provider Directory
Tax ID family
Clinton Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1568795599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432528",
            "telephone_number": "586-468-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-463-7079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "L1610877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.