Organization Active NPI

Family, Couples & Adolescence Counseling, LLC

  • Mental Health Counselor
  • Waterford, MI
National Provider Identifier
1811482664
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY, COUPLES & ADOLESCENCE COUNSELING, LLC
Practice address
3525 Elizabeth Lake Rd Ste a
Waterford, MI 48328-3087
Phone
(313) 671-4002
NPI assigned
Jun 25, 2018
Last updated
Mar 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Lajoy Harris, LPC, NCC,QMHP, ICADCNPI 1245774538
Title
Owner/ Mental Health Counselor
Phone
(313) 671-4002

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3525 Elizabeth Lake Rd Ste a
Waterford, MI 48328-3087

Mailing address

3481 Castlewood CT
Wixom, MI 48393-1749
Phone (313) 671-4002

National Provider Directory

National Provider Directory

Locations

3525 Elizabeth Lake Rd
Ste A
Waterford, MI 48328
Phone (313) 671-4002

Practitioners & affiliated clinicians

Practitioners 1

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1811482664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 CASTLEWOOD CT",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931749",
            "telephone_number": "313-671-4002",
            "fax_number": "248-732-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ELIZABETH LAKE RD STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283087",
            "telephone_number": "313-671-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY, COUPLES & ADOLESCENCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LAJOY",
        "authorized_official_title_or_position": "OWNER/ MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "313-671-4002",
        "authorized_official_credential": "LPC, NCC,QMHP, ICADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.