Organization Active NPI

Conscious Garden Counseling LLC

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1780450031
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONSCIOUS GARDEN COUNSELING LLC
Practice address
1149 Hilton Rd # 200
Ferndale, MI 48220-2838
Phone
(313) 228-6404
Fax
(313) 331-6824
NPI assigned
Nov 28, 2023
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Jesica A Bassett, LMSWNPI 1639540073
Title
Social Worker-Therapist
Phone
(517) 231-7183

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1149 Hilton Rd # 200
Ferndale, MI 48220-2838

Mailing address

1149 Hilton Rd # 200
Ferndale, MI 48220-2838
Phone (313) 228-6404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240228001276 MI Part B Supplier - Clinic/Group Practice 4587009733 Receives reassigned benefits from 3 practitioners
Practice locations: Allen Park, MI; Ferndale, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

6601 Park Ave
Ste 6
Allen Park, MI 48101
Phone (313) 228-6595

1149 Hilton Rd
Ste 200
Ferndale, MI 48220
Phone (313) 228-6404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1780450031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 HILTON RD # 200",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202838",
            "telephone_number": "313-228-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 HILTON RD # 200",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202838",
            "telephone_number": "313-228-6404",
            "fax_number": "313-331-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS GARDEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "JESICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOCIAL WORKER-THERAPIST",
        "authorized_official_telephone_number": "517-231-7183",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.