Organization Active NPI

Downriver Professional Counseling, PLLC

  • Counselor
  • Allen Park, MI
National Provider Identifier
1710452271
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DOWNRIVER PROFESSIONAL COUNSELING, PLLC
Practice address
7000 Roosevelt Ave Ste 203
Allen Park, MI 48101-2583
Phone
(248) 760-3125
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Deborah Nolan, LLMSWNPI 1467837492
Title
Owner
Phone
(248) 760-3125

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

7000 Roosevelt Ave Ste 203
Allen Park, MI 48101-2583

Mailing address

7000 Roosevelt Ave Ste 203
Allen Park, MI 48101-2583
Phone (248) 760-3125

National Provider Directory

National Provider Directory

Locations

7000 Roosevelt Ave
Ste 2033
Allen Park, MI 48101
Phone (248) 760-3125

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": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1710452271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ROOSEVELT AVE STE 203",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012583",
            "telephone_number": "248-760-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 ROOSEVELT AVE STE 203",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012583",
            "telephone_number": "248-760-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER PROFESSIONAL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-760-3125",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.