Organization Active NPI

Zoe Counseling Services

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1629436100
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011252 Issued in MI
Legal business name
ZOE COUNSELING SERVICES
Practice address
24901 Northwestern Hwy Ste 314E
Southfield, MI 48075-2207
Phone
(313) 401-0990
Fax
(248) 327-3565
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Renata Bush, LPCNPI 1770965709
Title
Ceo
Phone
(313) 587-6483

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 6401012944 MI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401011252 MI Primary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X SC0000000841027 MI

Addresses

Primary practice location

24901 Northwestern Hwy Ste 314E
Southfield, MI 48075-2207

Mailing address

PO Box 40401
Redford, MI 48240-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007000897 MI Part B Supplier - Clinic/Group Practice 7618408246 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

7600 Chrysler Dr
Ste 252
Detroit, MI 48211

24901 Northwestern Hwy
Ste 314E
Southfield, MI 48075
Phone (313) 401-0990

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1629436100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40401",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482400401",
            "fax_number": "248-327-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 314E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752207",
            "telephone_number": "313-401-0990",
            "fax_number": "248-327-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-587-6483",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012944",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011252",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000000841027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.

Verify at the official NPI Registry.