NPIMap

Organization Active NPI

Wellness Counseling L.L.C.

Doing business as Wellness Counseling

  • Social Worker
  • Southgate, MI
National Provider Identifier
1841707262
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
WELLNESS COUNSELING L.L.C.
Doing business as
Wellness Counseling
Practice address
1 Heritage Dr Ste 261
Southgate, MI 48195-2574
Phone
(734) 778-0663
NPI assigned
Jan 8, 2018
Last updated
Sep 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Kathryn Mary Thompson, LPC, CADC, NCC, ACSNPI 1174856975
Title
Owner, Director
Phone
(734) 778-0663

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1 Heritage Dr Ste 261
Southgate, MI 48195-2574

Mailing address

1 Heritage Dr Ste 261
Southgate, MI 48195-2574
Phone (734) 778-0663

Other names 1

  • Wellness Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200918001506 MI Part B Supplier - Clinic/Group Practice 7012335326 Receives reassigned benefits from 9 practitioners
Practice locations: Southgate, MI

National Provider Directory

National Provider Directory

Locations

32290 5 Mile Rd
Ste 1
Livonia, MI 48154
Phone (734) 778-0663

1 Heritage Dr
Ste 261
Southgate, MI 48195
Phone (734) 778-0663

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1841707262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 261",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952574",
            "telephone_number": "734-778-0663",
            "fax_number": "734-785-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR STE 261",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952574",
            "telephone_number": "734-778-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COUNSELING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "734-778-0663",
        "authorized_official_credential": "LPC, CADC, NCC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.