Active NPI
Inner Strength Counseling Services PLLC
- Clinical Psychologist
- Wixom, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301015288
- Legal business name
- INNER STRENGTH COUNSELING SERVICES PLLC
- Practice address
- 28345 Beck Rd
Suite 305
Wixom, MI 48393-4733 - Phone
- (586) 879-9579
- Fax
- (844) 884-2778
- NPI assigned
- Oct 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Meyers, PHD
- Title
- Owner
- Phone
- (586) 879-9579
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301015288 | MI | Primary |
Addresses
Primary practice location
28345 Beck Rd
Suite 305
Wixom, MI 48393-4733
Mailing address
28345 Beck Rd
Suite 305
Wixom, MI 48393-4733
Phone (586) 879-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Inner Strength Counseling Services PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Wixom, MI
- NPI 1033578596
Locations
2955 Biddle Ave
Ste 200
Wyandotte, MI 48192
Phone (586) 879-9579
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Wyandotte, MI
- NPI 1124006895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1609246719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28345 BECK RD",
"address_2": "SUITE 305",
"city": "WIXOM",
"state": "MI",
"postal_code": "483934733",
"telephone_number": "586-879-9579",
"fax_number": "844-884-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28345 BECK RD",
"address_2": "SUITE 305",
"city": "WIXOM",
"state": "MI",
"postal_code": "483934733",
"telephone_number": "586-879-9579",
"fax_number": "844-884-2778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER STRENGTH COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-01",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-879-9579",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301015288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.