Origins Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ORIGINS COUNSELING, PLLC

Practice address

3500 N Lake Shore Dr
Black River, MI 48721

Phone

(248) 894-3226

NPI assigned

Feb 20, 2020

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele Lee TalericoNPI 1710204755

Title

Owner

Phone

(989) 335-5590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michele Lee Talerico, MSW

  • Clinical Social Worker
  • Black River, MI
  • NPI 1710204755
  NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1720611528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N 2ND AVE UNIT 41",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497076201",
            "telephone_number": "248-894-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N LAKE SHORE DR",
            "city": "BLACK RIVER",
            "state": "MI",
            "postal_code": "48721",
            "telephone_number": "248-894-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-08-29",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "TALERICO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-335-5590"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black River Chiropractic PLLC
• Sarah Minkos
• Michele Lee Talerico, MSW

• Clinical Social Worker in Black River, MI
• Providers in Black River, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.