Identity Counseling Psychology West PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IDENTITY COUNSELING PSYCHOLOGY WEST PLLC

Practice address

635 S Maple Rd Ste 2
Ann Arbor, MI 48103-3838

Phone

(734) 645-8944

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Wilkins, LPCNPI 1548702715

Title

Owner

Phone

(734) 545-0332

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.

• Timothy Wilkins, LPC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1548702715
  NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1720600695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S MAPLE RD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033838",
            "telephone_number": "734-645-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S MAPLE RD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033838",
            "telephone_number": "734-645-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTITY COUNSELING PSYCHOLOGY WEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-545-0332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Ibrahim, MD
• Yousef Ibrahim
• Ingrid Karen Ichesco, M.D.
• Wesley Ichesco, D.D.S., M.S.
• Identity Counseling Psychology PLLC
• Susan Marie Iekel
• Elsie Odanga Ignacio, RN
• Harrison Udensi Igwe, PHD, MA, MPA, CAADC,
• Chinwendu Igwegbe
• Iha Health Service Corporation

• Mental Health Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.