Active NPI
New Beginnings Fresh Start Counseling Group LLC
- Counselor
- West Bloomfield, MI
National Provider Identifier
1740736420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- NEW BEGINNINGS FRESH START COUNSELING GROUP LLC
- Practice address
- 5007 Cherry Blossom Cir
West Bloomfield, MI 48324-4008 - Phone
- (248) 469-0954
- NPI assigned
- Aug 31, 2016
- 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
- Mary Beth Houpt
- Title
- Credentialing
- Phone
- (517) 676-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5007 Cherry Blossom Cir
West Bloomfield, MI 48324-4008
Mailing address
PO Box 10
Mason, MI 48854-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240108000369 | MI | Part B Supplier - Clinic/Group Practice | 7517318223 | Practice locations: West Bloomfield, MI |
National Provider Directory
National Provider DirectoryLocations
23800 W 10 Mile Rd
Ste 260C
Southfield, MI 48033
21650 W 11 Mile Rd
Ste 102
Southfield, MI 48076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698537600000",
"number": "1740736420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 CHERRY BLOSSOM CIR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483244008",
"telephone_number": "248-469-0954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BEGINNINGS FRESH START COUNSELING GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2023-10-29",
"certification_date": "2023-10-29",
"status": "A",
"authorized_official_last_name": "HOUPT",
"authorized_official_first_name": "MARY BETH",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "517-676-9797"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.