Organization Active NPI

Preserve Independence Counseling

  • Adult Mental Health Clinic/Center
  • Warren, MI
National Provider Identifier
1730858564
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PRESERVE INDEPENDENCE COUNSELING
Practice address
25191 Hoover Rd
Warren, MI 48089-1145
Phone
(586) 262-2800
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Jerome Jones
Title
Ceo
Phone
(586) 262-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

25191 Hoover Rd
Warren, MI 48089-1145

Mailing address

25191 Hoover Rd
Warren, MI 48089-1145

National Provider Directory

National Provider Directory

Locations

25191 Hoover Rd
Warren, MI 48089
Phone (586) 262-2800

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": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1730858564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25191 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25191 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891145",
            "telephone_number": "586-262-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVE INDEPENDENCE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-262-2800"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.