Whitney Leigh Coulson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801100194 Issued in MI

Practice address

640 N Old Woodward Ave
Suite 301
Birmingham, MI 48009-3881

Phone

(248) 752-0509

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Whitney Leigh Coulson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moodlab Psychotherapy

  • Community/Behavioral Health Agency
  • Palisades Park, NJ
  • NPI 1851274195
  NPD Authorized official

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1780135871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304816",
            "telephone_number": "248-752-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N OLD WOODWARD AVE",
            "address_2": "SUITE 301",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093881",
            "telephone_number": "248-752-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULSON",
        "first_name": "WHITNEY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094616-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801100194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "COULSON",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary L Connolly, MSW
• Steven Anthony Conyers, MA
• Elizabeth Ann Corby, PH.D.
• John Charles Cordes, DC
• Carly Corpolongo, LMSW
• Lance Cousins, CERTIFIED TRAINER
• Silvio J Cozzetto, D.C.
• Craig Counseling Services, P.L.L.C.
• Steven J. Craig, PSY.D.
• Michele Denise Crammond, MA, TLLP

• Mental Health Counselor in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.