Organization Active NPI

Healers of Color Collaborative of Michigan

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1780264648
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALERS OF COLOR COLLABORATIVE OF MICHIGAN
Practice address
411 W Lake Lansing Rd
Suite C-120
East Lansing, MI 48823
Phone
(517) 219-5261
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Mrs. Lindsey Cobbon, LMSW
Title
Head of External Affairs
Phone
(517) 945-6497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

411 W Lake Lansing Rd
Suite C-120
East Lansing, MI 48823

Mailing address

P.O. Box 26162
Lansing, MI 48909
Phone (517) 219-5761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1780264648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26162",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48909",
            "telephone_number": "517-219-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD",
            "address_2": "SUITE C-120",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-219-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALERS OF COLOR COLLABORATIVE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "COBBON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "HEAD OF EXTERNAL AFFAIRS",
        "authorized_official_telephone_number": "517-945-6497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.