Organization Active NPI

Wise Willow Counseling & Consulting LLC

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1598267288
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WISE WILLOW COUNSELING & CONSULTING LLC
Practice address
2875 Northwind Dr Ste 215
East Lansing, MI 48823
Phone
(989) 277-9617
Fax
(517) 882-6181
NPI assigned
Mar 8, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Amanda Dubey-Zerka, LMSW
Title
Owner
Phone
(989) 277-9617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2875 Northwind Dr Ste 215
East Lansing, MI 48823

Mailing address

2875 Northwind Dr Ste 215
East Lansing, MI 48823-5035
Phone (989) 277-9617

National Provider Directory

National Provider Directory

Locations

780 W Lake Lansing Rd
East Lansing, MI 48823
Phone (616) 920-0271

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1598267288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 NORTHWIND DR STE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235035",
            "telephone_number": "989-277-9617",
            "fax_number": "517-882-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 NORTHWIND DR STE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "989-277-9617",
            "fax_number": "517-882-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE WILLOW COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "DUBEY-ZERKA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-277-9617",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.