Organization Active NPI

Counseling Centers of Michigan

  • Community/Behavioral Health Agency
  • Clarkston, MI
National Provider Identifier
1801349303
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801090542 Issued in MI
Legal business name
COUNSELING CENTERS OF MICHIGAN
Practice address
7300 Dixie Hwy Ste 300
Clarkston, MI 48346-5102
Phone
(248) 707-6480
Fax
(248) 707-6481
NPI assigned
Aug 1, 2016
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Mr. Christian Todd Osborn, LMSWNPI 1629232798
Title
Clinical Therapist/ Co-Owner
Phone
(248) 707-6480

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
Community/Behavioral Health Agency 251S00000X 6801090542 MI Primary

Addresses

Primary practice location

7300 Dixie Hwy Ste 300
Clarkston, MI 48346-5102

Mailing address

7300 Dixie Hwy Ste 300
Clarkston, MI 48346-5102
Phone (248) 707-6480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161003002487 MI Part B Supplier - Clinic/Group Practice 5092002287 Receives reassigned benefits from 3 practitioners
Practice locations: Clarkston, MI

National Provider Directory

National Provider Directory

Locations

6803 Dixie Hwy
Ste 2
Clarkston, MI 48346
Phone (248) 707-6480

6825 Dixie Hwy
Ste E
Clarkston, MI 48346
Phone (248) 625-6820

7300 Dixie Hwy
Ste 300
Clarkston, MI 48346
Phone (248) 707-6480

Practitioners & affiliated clinicians

Practitioners 5

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": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1801349303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465102",
            "telephone_number": "248-707-6480",
            "fax_number": "248-707-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 300",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465102",
            "telephone_number": "248-707-6480",
            "fax_number": "248-707-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTERS OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/ CO-OWNER",
        "authorized_official_telephone_number": "248-707-6480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801090542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.