Counseling of Mind Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

E48909 Issued in MI

Legal business name

COUNSELING OF MIND CENTER LLC

Practice address

10 W Square Lake Rd
Suite 302
Bloomfield Hills, MI 48302-0465

Phone

(248) 977-5930

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Terry Lynn Wisniewski, MA LLPC

Title

General Partner/Therapist

Phone

(248) 977-5930

Specialties & licenses 1

Addresses

Practitioners 1

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

• Judith Shredneski, M.A., LLPC

  • Professional Counselor
  • Bloomfield Hills, MI
  • NPI 1043618341
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1689073223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD",
            "address_2": "SUITE 302",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020465",
            "telephone_number": "248-977-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD",
            "address_2": "SUITE 302",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020465",
            "telephone_number": "248-977-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING OF MIND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GENERAL PARTNER/THERAPIST",
        "authorized_official_telephone_number": "248-977-5930",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "E48909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Cristina Cosma, M.D.
• Victoria Costantini
• Kimberley D. Costello, CADC-D
• Michaela Elizabeth Cotton
• Counseling Centre
• Country Club Home Care LLC
• Kelli Jo Courtois, D.P.T.
• Kristen C Couture, OTR
• Roberta W Coven, PH.D.
• Covenant Home Care LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.