Personal Choice Planned Change

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401004803 Issued in MI

Legal business name

PERSONAL CHOICE PLANNED CHANGE

Practice address

4432 Knightsbridge LN
West Bloomfield, MI 48323-1627

Phone

(313) 363-1976

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Roslyn Jo Carter, MA, LPCNPI 1164502431

Title

Ceo/Director

Phone

(313) 363-1976

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roslyn Jo Carter, L.P.C.

  • Counselor
  • Southfield, MI
  • NPI 1164502431
  NPD Authorized official

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1619256799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 KNIGHTSBRIDGE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231627",
            "telephone_number": "313-363-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 KNIGHTSBRIDGE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231627",
            "telephone_number": "313-363-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CHOICE PLANNED CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "313-363-1976",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401004803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164502431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorie A Pender, CNM
• Courtney Peper, MSN, APRN, FNP-C
• James Edward Perkins, D.C.
• Claudia Jeanne Perry, COTA
• Richard J Persiani, DDS MS
• Adam Peruski, PA-C
• Isaac Michael Peruski, PA-C
• Marina Pesserl, PHD, LPC
• Kelsey Ann Petchell, PA-C
• Ronnya Peter, BSN

• Community/Behavioral Health Agency in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.