Organization Active NPI

Loving Light Counseling, LLC

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1700526704
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOVING LIGHT COUNSELING, LLC
Practice address
23550 Harper Ave Ste 322
Saint Clair Shores, MI 48080-1447
Phone
(313) 799-2124
Fax
(877) 470-7354
NPI assigned
Mar 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Andrea Berthet, LMSWNPI 1164935144
Title
Owner/Therapist
Phone
(248) 392-5042

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

23550 Harper Ave Ste 322
Saint Clair Shores, MI 48080-1447

Mailing address

23826 Reynolds Ave
Hazel Park, MI 48030-1488
Phone (248) 392-5042

National Provider Directory

National Provider Directory

Locations

23550 Harper Ave
Ste 322
Saint Clair Shores, MI 48080
Phone (313) 799-2124

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": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1700526704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23826 REYNOLDS AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301488",
            "telephone_number": "248-392-5042",
            "fax_number": "877-470-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 HARPER AVE STE 322",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801447",
            "telephone_number": "313-799-2124",
            "fax_number": "877-470-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING LIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "BERTHET",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-392-5042",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.