Cope Personal Development Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401003666 Issued in MI

Legal business name

COPE PERSONAL DEVELOPMENT CENTER

Practice address

26711 Woodward Ave Ste LL2
Huntington Woods, MI 48070-1370

Phone

(855) 948-1661

Fax

(888) 318-6010

NPI assigned

Oct 7, 2017

Organization subpart

No

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

Authorized official

Name

Tina Larayne Parkman, PH.D

Title

President

Phone

(248) 991-5779

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cope Personal Development Center

  • Addiction (Substance Use Disorder) Registered Nurse
  • Huntington Woods, MI
  • NPI 1023583663
  NPPES parent name
• Downtown Counseling and Assessments

  • Community/Behavioral Health Agency
  • Saginaw, MI
  • NPI 1003318353
  NPPES parent name

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1679083372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30016 HANOVER BLVD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865125",
            "telephone_number": "248-991-5779",
            "fax_number": "888-318-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE STE LL2",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701370",
            "telephone_number": "855-948-1661",
            "fax_number": "888-318-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16107 E Warren Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482243201",
            "country_code": "US",
            "telephone_number": "313-910-3911",
            "fax_number": "888-318-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19100 W 10 Mile Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752428",
            "country_code": "US",
            "telephone_number": "855-948-1661",
            "fax_number": "888-318-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COPE PERSONAL DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "PARKMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "LARAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-991-5779",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401003666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548462591",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184926446",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477876019",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851752596",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Chesterman, P.T.
• Aimee Beth Chisik
• Elaine Diane Church
• Cognitive Insight Center, Inc
• Cope Personal Development Center
• Isabella Corsi
• Kristin Cotts
• Dominique Sherie Crump, LLMSW
• CRV Imaging Consultants, Inc.
• Cheryl Dailey

• Addiction (Substance Use Disorder) Counselor in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.