Organization Active NPI

Selective Home Counseling Service

  • Physical Disabilities Residential Treatment Facility
  • Southfield, MI
National Provider Identifier
1659569085
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
6801079079 Issued in MI
Legal business name
SELECTIVE HOME COUNSELING SERVICE
Practice address
24100 Southfield Rd
Suite 320
Southfield, MI 48075-2819
Phone
(248) 327-3864
Fax
(248) 552-9614
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Ms. Mary Gee, LMSW-CSW
Title
President
Phone
(248) 830-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 6801079079 MI Primary

Addresses

Primary practice location

24100 Southfield Rd
Suite 320
Southfield, MI 48075-2819

Mailing address

24100 Southfield Rd
Ste. 320
Southfield, MI 48075-2819
Phone (248) 830-0800

National Provider Directory

National Provider Directory

Locations

24100 Southfield Rd
Ste 320
Southfield, MI 48075
Phone (248) 327-3864

Practitioners & affiliated clinicians

Practitioners 1

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1659569085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD",
            "address_2": "STE. 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752819",
            "telephone_number": "248-830-0800",
            "fax_number": "248-552-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD",
            "address_2": "SUITE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752819",
            "telephone_number": "248-327-3864",
            "fax_number": "248-552-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE HOME COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-830-0800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW-CSW"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "6801079079",
            "primary": true
        }
    ],
    "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 5, 2010; 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.