Organization Active NPI

Masters Hand Counseling Center LLC

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1720763923
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Authorized official

Name
Janice R Hendricks, LMSWNPI 1144792185
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20230807002857 MI Part B Supplier - Clinic/Group Practice 6204297252 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.