Organization Active NPI

Soul Purpose Counseling & Consultation, PLLC

  • Community/Behavioral Health Agency
  • Gaylord, MI
National Provider Identifier
1831523240
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401013682 Issued in MI
Legal business name
SOUL PURPOSE COUNSELING & CONSULTATION, PLLC
Practice address
912 Timberline TRL
Gaylord, MI 49735-9316
Phone
(989) 614-7080
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Ashley B Hinton, MA, LLPC, NCCNPI 1376985325
Title
Owner, Therapist
Phone
(989) 614-7080

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 6401013682 MI Primary

Addresses

Primary practice location

912 Timberline TRL
Gaylord, MI 49735-9316

Mailing address

912 Timberline TRL
Gaylord, MI 49735-9316
Phone (989) 614-7080

Other identifiers 1

IdentifierTypeStateIssuer
12579416OtherCAQH

National Provider Directory

National Provider Directory

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": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1831523240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 TIMBERLINE TRL",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359316",
            "telephone_number": "989-614-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 TIMBERLINE TRL",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359316",
            "telephone_number": "989-614-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PURPOSE COUNSELING & CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "989-614-7080",
        "authorized_official_credential": "MA, LLPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401013682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12579416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.