NPIMap

Organization Active NPI

Parkside Family Counseling, LLC

  • Counselor
  • Adrian, MI
National Provider Identifier
1710164652
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PARKSIDE FAMILY COUNSELING, LLC
Practice address
805 W Maumee St
Adrian, MI 49221-1901
Phone
(517) 266-8880
Fax
(517) 266-8881
NPI assigned
Jan 23, 2008
Last updated
Mar 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Therese Langan, LMSWNPI 1295904977
Title
Partner
Phone
(517) 266-8880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

805 W Maumee St
Adrian, MI 49221-1901

Mailing address

805 W Maumee St
Adrian, MI 49221-1901
Phone (517) 266-8880

National Provider Directory

National Provider Directory

Locations

805 W Maumee St
Adrian, MI 49221
Phone (517) 265-8658

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1710164652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211901",
            "telephone_number": "517-266-8880",
            "fax_number": "517-266-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211901",
            "telephone_number": "517-266-8880",
            "fax_number": "517-266-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "LANGAN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "517-266-8880",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.