Organization Active NPI

Fayna T Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1780189365
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401007980 Issued in MI
Legal business name
FAYNA T COUNSELING SERVICES PLLC
Practice address
5575 Conner St Ste 208
Detroit, MI 48213-6401
Phone
(313) 646-1350
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Elizabeth Grier, MA LPC
Title
Owner
Phone
(313) 646-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401007980 MI Primary

Addresses

Primary practice location

5575 Conner St Ste 208
Detroit, MI 48213-6401

Mailing address

5575 Conner St Ste 208
Detroit, MI 48213-6401
Phone (313) 646-1350

Other identifiers 1

IdentifierTypeStateIssuer
VS0041571MedicaidMI

Other names 2

  • Fayna T Counseling Services Doing business as
  • Elizabeth Ann Grier Other name

National Provider Directory

National Provider Directory

Locations

5575 Conner St
Ste 208
Detroit, MI 48213
Phone (313) 646-1350

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1780189365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE 208",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136401",
            "telephone_number": "313-646-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE 208",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136401",
            "telephone_number": "313-646-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYNA T COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-646-1350",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401007980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0041571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayna T Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabeth Ann Grier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.