Active NPI
Abbott Road Center for the Family
- Mental Health Counselor
- East Lansing, MI
National Provider Identifier
1841313764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801058299
- Legal business name
- ABBOTT ROAD CENTER FOR THE FAMILY
- Practice address
- 921 Abbott Rd
East Lansing, MI 48823-3170 - Phone
- (517) 351-2590
- Fax
- (517) 351-2733
- NPI assigned
- Apr 6, 2007
- 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
- Mr. Yusuf NA Abdullah, MED,LSMW
- Title
- Mental Health Counselor
- Phone
- (517) 351-2590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801058299 | MI | Primary |
Addresses
Primary practice location
921 Abbott Rd
East Lansing, MI 48823-3170
Mailing address
921 Abbott Rd
East Lansing, MI 48823-3170
Phone (517) 351-2590
Other names 1
- none
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1841313764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 ABBOTT RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488233170",
"telephone_number": "517-351-2590",
"fax_number": "517-351-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 ABBOTT RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488233170",
"telephone_number": "517-351-2590",
"fax_number": "517-351-2733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABBOTT ROAD CENTER FOR THE FAMILY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "ABDULLAH",
"authorized_official_first_name": "YUSUF",
"authorized_official_middle_name": "NA",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "517-351-2590",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MED,LSMW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801058299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.