Organization Active NPI

Family Choice Counseling & Case Management Services

  • Clinical Social Worker
  • Flushing, MI
National Provider Identifier
1588920409
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088926 Issued in MI
Legal business name
FAMILY CHOICE COUNSELING & CASE MANAGEMENT SERVICES
Practice address
3280 N Elms Rd
Suite G
Flushing, MI 48433-1871
Phone
(810) 210-7558
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mr. Lajuan S. Gibson, L.M.S.W.NPI 1336338557
Title
President/Ceo
Phone
(810) 210-7558

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801088926 MI Primary

Addresses

Primary practice location

3280 N Elms Rd
Suite G
Flushing, MI 48433-1871

Mailing address

3280 N Elms Rd
Suite G
Flushing, MI 48433-1871
Phone (810) 210-7558

National Provider Directory

National Provider Directory
Tax ID family
Family Choice Counseling and Case Management Services2 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.

Locations

3280 N Elms Rd
Ste G
Flushing, MI 48433
Phone (810) 210-7558

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": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1588920409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 N ELMS RD",
            "address_2": "SUITE G",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331871",
            "telephone_number": "810-210-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N ELMS RD",
            "address_2": "SUITE G",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331871",
            "telephone_number": "810-210-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE COUNSELING & CASE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LAJUAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "810-210-7558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.