Organization Active NPI

Heartleaf Counseling and Consultation Services

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1659188407
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEARTLEAF COUNSELING AND CONSULTATION SERVICES
Doing business as
Heartleaf Counseling and Consultation Services
Practice address
4861 Packard St
Ann Arbor, MI 48108-1500
Phone
(734) 215-5109
NPI assigned
Dec 16, 2024
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Lindsay Fernandez, MSWNPI 1518403575
Title
Founder and Owner
Phone
(734) 215-5109

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4861 Packard St
Ann Arbor, MI 48108-1500

Mailing address

108 N Maple Rd Unit 155
Saline, MI 48176-7008
Phone (734) 215-5109

Other names 1

  • Heartleaf Counseling and Consultation Services Doing business as

National Provider Directory

National Provider Directory

Locations

108 N Maple Rd
Unit 155
Saline, MI 48176

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1659188407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MAPLE RD UNIT 155",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481767008",
            "telephone_number": "734-215-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081500",
            "telephone_number": "734-215-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLEAF COUNSELING AND CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "734-215-5109",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartleaf Counseling and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.