Active NPI
Counseling Associates, Inc.
- Clinical Psychologist
- West Bloomfield, MI
National Provider Identifier
1780944017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- COUNSELING ASSOCIATES, INC.
- Practice address
- 6960 Orchard Lake Rd
100
West Bloomfield, MI 48322-4515 - Phone
- (248) 626-1500
- Fax
- (248) 626-1551
- NPI assigned
- May 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex J. Grossberg
- Title
- Administrator
- Phone
- (248) 626-1500
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Psychoanalysis Psychologist | 103TP0814X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
6960 Orchard Lake Rd
100
West Bloomfield, MI 48322-4515
Mailing address
6960 Orchard Lake Rd
100
West Bloomfield, MI 48322-4515
Phone (248) 626-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1175880 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Counseling Associates Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- West Bloomfield, MI
- NPI 1629069471
-
- Clinical Psychologist
- West Bloomfield, MI
- NPI 1295024362
-
- Social Worker
- West Bloomfield, MI
- NPI 1356716559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337558400000",
"number": "1780944017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6960 ORCHARD LAKE RD",
"address_2": "100",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224515",
"telephone_number": "248-626-1500",
"fax_number": "248-626-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 ORCHARD LAKE RD",
"address_2": "100",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224515",
"telephone_number": "248-626-1500",
"fax_number": "248-626-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A",
"authorized_official_last_name": "GROSSBERG",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "248-626-1500"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1175880",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.