NPIMap

Organization Active NPI

Nurturing Selves

  • Adolescent and Children Mental Health Clinic/Center
  • Flushing, MI
National Provider Identifier
1740991769
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NURTURING SELVES
Practice address
1507 E Pierson Rd
Flushing, MI 48433-1816
Phone
(810) 964-9242
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Paula M Archambault Selves, LMSW, RPT-SNPI 1558385864
Title
Director/Child and Family Therapy
Phone
(810) 964-9242

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1507 E Pierson Rd
Flushing, MI 48433-1816

Mailing address

6531 N Seymour Rd
Flushing, MI 48433-1007
Phone (810) 964-9242

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nurturingselves.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213000037 MI Part B Supplier - Clinic/Group Practice 2466824834 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, MI

National Provider Directory

National Provider Directory

Locations

1507 E Pierson Rd
Flushing, MI 48433
Phone (810) 447-0041

Practitioners & affiliated clinicians

Practitioners 10

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1740991769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 N SEYMOUR RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331007",
            "telephone_number": "810-964-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331816",
            "telephone_number": "810-964-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING SELVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "ARCHAMBAULT SELVES",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/CHILD AND FAMILY THERAPY",
        "authorized_official_telephone_number": "810-964-9242",
        "authorized_official_credential": "LMSW, RPT-S"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nurturingselves.com",
            "affiliation": "N",
            "address_1": "1507 E Pierson Rd",
            "city": "Flushing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484331816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.