Organization Active NPI

Therapy Uncensored LLC

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1669034112
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPY UNCENSORED LLC
Practice address
16119 Fenmore St
Detroit, MI 48235-3420
Phone
(313) 247-8738
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Ms. Charnell Dortch, LPCNPI 1437663655
Title
Mental Health Therapist-
Phone
(313) 247-8738

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16119 Fenmore St
Detroit, MI 48235-3420

Mailing address

16119 Fenmore St
Detroit, MI 48235-3420
Phone (313) 247-8738

National Provider Directory

National Provider Directory

Locations

418 N Main St
Ste 252
Royal Oak, MI 48067

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": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1669034112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16119 FENMORE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353420",
            "telephone_number": "313-247-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16119 FENMORE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353420",
            "telephone_number": "313-247-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY UNCENSORED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "DORTCH",
        "authorized_official_first_name": "CHARNELL",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST-",
        "authorized_official_telephone_number": "313-247-8738",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.