Organization Active NPI

Detroit Counseling and Wellness Solutions

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1659901783
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DETROIT COUNSELING AND WELLNESS SOLUTIONS
Practice address
17250 W 12 Mile Rd Ste 213
Southfield, MI 48076-2123
Phone
(313) 985-0243
Fax
(313) 985-1053
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Elaina Brown-Mingo, LMSW-CNPI 1508322322
Title
Owner/Clinician
Phone
(313) 985-0243

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

17250 W 12 Mile Rd Ste 213
Southfield, MI 48076-2123

Mailing address

PO Box 21063
Detroit, MI 48221-0063
Phone (313) 985-0243

Other identifiers 1

IdentifierTypeStateIssuer
1508322322MedicaidMI

National Provider Directory

National Provider Directory

Locations

17250 W 12 Mile Rd
Ste 213
Southfield, MI 48076
Phone (313) 985-0243

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": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1659901783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21063",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482210063",
            "telephone_number": "313-985-0243",
            "fax_number": "313-985-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 W 12 MILE RD STE 213",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762123",
            "telephone_number": "313-985-0243",
            "fax_number": "313-985-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT COUNSELING AND WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "BROWN-MINGO",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "313-985-0243",
        "authorized_official_credential": "LMSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508322322",
            "state": "MI"
        }
    ],
    "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 Jan 16, 2020; 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.