Healthy Heart Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALTHY HEART COUNSELING SERVICES

Practice address

11648 Whittier St
Detroit, MI 48224-1540

Phone

(586) 907-5828

NPI assigned

Feb 27, 2025

Organization subpart

No

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

Authorized official

Name

Rayvon Larnard Shipman, LMSWNPI 1972941771

Title

Ceo

Phone

(586) 907-5828

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rayvon Larnard Shipman, LMSW - CLINICAL

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1972941771
  NPD Authorized official
• Anna Janay Broom

  • Social Worker
  • Detroit, MI
  • NPI 1689593055
  NPD (past)
• Kandace Gregory

  • School Social Worker
  • Detroit, MI
  • NPI 1851229306
  NPD (past)
• David Haynesworth

  • Community Health Worker
  • Detroit, MI
  • NPI 1932037744
  NPD (past)

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1679370597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 LORETTO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053975",
            "telephone_number": "586-563-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11648 WHITTIER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241540",
            "telephone_number": "586-907-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEART COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "RAYVON",
        "authorized_official_middle_name": "LARNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-907-5828",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healthy Living Medical Supply, LLC
• Healthy Moms and Babies

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.