Organization Active NPI

Northern Woods Counseling & Consulting Services, Inc.

  • Professional Counselor
  • Traverse City, MI
National Provider Identifier
1851683585
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401000552 Issued in MI
Legal business name
NORTHERN WOODS COUNSELING & CONSULTING SERVICES, INC.
Practice address
109 S Union St Ste 208
Traverse City, MI 49684-2575
Phone
(231) 632-9209
Fax
(231) 275-7268
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Mr. Gerald N. Papazian, CAADC, LPC
Title
Licensed Professional Counselor
Phone
(231) 632-9209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401000552 MI Primary

Addresses

Primary practice location

109 S Union St Ste 208
Traverse City, MI 49684-2575

Mailing address

109 S Union St Ste 208
Traverse City, MI 49684-2575

Other identifiers 1

IdentifierTypeStateIssuer
1508913062OtherMITYPE I NPI

National Provider Directory

National Provider Directory

Locations

109 S Union St
Ste 208
Traverse City, MI 49684
Phone (231) 632-9209

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1851683585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S UNION ST STE 208",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S UNION ST STE 208",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842575",
            "telephone_number": "231-632-9209",
            "fax_number": "231-275-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WOODS COUNSELING & CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "PAPAZIAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "231-632-9209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAADC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1508913062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.