Urban Therapeutic Collective LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

URBAN THERAPEUTIC COLLECTIVE LLC

Practice address

27369 Sutherland St
Southfield, MI 48076-3563

Phone

(313) 478-5114

NPI assigned

Sep 30, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kari Nadine Foote-Johnson, LMSWNPI 1881023430

Title

Executive Director

Phone

(313) 478-5114

Specialties & licenses 2

Addresses

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.

• Kari Nadine Foote-Johnson, LMSW

  • Clinical Social Worker
  • Inkster, MI
  • NPI 1881023430
  NPD Authorized official

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1598489775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27369 SUTHERLAND ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763563",
            "telephone_number": "313-478-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27369 SUTHERLAND ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763563",
            "telephone_number": "313-478-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN THERAPEUTIC COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "FOOTE-JOHNSON",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-478-5114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Uppal, P.T, MHS
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• Ronald L Uppleger Jr., DDS
• Upscale Transportation, LLC
• Urban Health Care Group PLLC
• Gerald Edwin Urban, M.S.W.
• Urbanistic Therapy LLC
• Violet Uredi
• Urgent Medical Supply, LLC
• Lauren Uroda

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.