Actualized Self Counseling and Wellness P.L.L.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ACTUALIZED SELF COUNSELING AND WELLNESS P.L.L.C.

Practice address

3301 Veterans Dr Ste 106
Traverse City, MI 49684-4592

Phone

(231) 620-9199

NPI assigned

Nov 2, 2018

Last updated

Nov 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Donald Sterzik, MA,LPC,CAADC

Title

Owner/Therapist

Phone

(231) 620-9199

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1760950257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 ROMAN DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858132",
            "telephone_number": "231-620-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 VETERANS DR STE 106",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844592",
            "telephone_number": "231-620-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTUALIZED SELF COUNSELING AND WELLNESS P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "STERZIK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "231-620-9199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,LPC,CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.