Active NPI
Masters Hand Counseling Center LLC
- Clinical Social Worker
- Canton, MI
National Provider Identifier
1720763923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MASTERS HAND COUNSELING CENTER LLC
- Practice address
- 41693 Bedford Dr
Canton, MI 48187-3703 - Phone
- (734) 355-1226
- NPI assigned
- Jun 16, 2023
- Last updated
- Jun 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice R Hendricks, LMSW
- Title
- Licensed Master of Social Work
- Phone
- (734) 355-1226
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
41693 Bedford Dr
Canton, MI 48187-3703
Mailing address
41693 Bedford Dr
Canton, MI 48187-3703
Phone (734) 355-1226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687046400000",
"number": "1720763923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41693 BEDFORD DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481873703",
"telephone_number": "734-355-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41693 BEDFORD DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481873703",
"telephone_number": "734-355-1226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTERS HAND COUNSELING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-18",
"certification_date": "2023-06-18",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "LICENSED MASTER OF SOCIAL WORK",
"authorized_official_telephone_number": "734-355-1226",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.