River Trail Counseling Associates, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RIVER TRAIL COUNSELING ASSOCIATES, LLC

Practice address

705 Barclay Cir Ste 125
Rochester Hills, MI 48307-4575

Phone

(248) 983-9136

Fax

(248) 856-9328

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Karol Teetor, MA, LPC, NCCNPI 1033423645

Title

Owner

Phone

(248) 563-7288

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Karol K Teetor, LPC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1033423645
  NPD Authorized official
• Alyssa Ann Bremner Bradford

  • Professional Counselor
  • Auburn Hills, MI
  • NPI 1386378784
  NPD
• Kathleen Stark, LPC

  • Professional Counselor
  • Waterford, MI
  • NPI 1699126839
  NPD
• Linda Elaine Sloss

  • Professional Counselor
  • Auburn Hills, MI
  • NPI 1730662404
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1619528940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S SQUIRREL RD STE D",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263280",
            "telephone_number": "248-289-1894",
            "fax_number": "248-564-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BARCLAY CIR STE 125",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074575",
            "telephone_number": "248-983-9136",
            "fax_number": "248-856-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TRAIL COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "TEETOR",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-563-7288",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.