Active NPI
1 On 1 Professional Counseling Service PLLC
- Professional Counselor
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011643
- Legal business name
- 1 ON 1 PROFESSIONAL COUNSELING SERVICE PLLC
- Practice address
- 8965 Griggs St
Detroit, MI 48204-2643 - Phone
- (313) 909-7080
- NPI assigned
- Jun 10, 2016
- Last updated
- Jun 10, 2016
- 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
- Gwendolyn Hayes, LPC
- Title
- Ma, LPC, NCC
- Phone
- (313) 909-7080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011643 | MI | Primary |
Addresses
Primary practice location
8965 Griggs St
Detroit, MI 48204-2643
Mailing address
8965 Griggs St
Detroit, MI 48204-2643
Phone (313) 909-7080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952695504 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- 1 On 1 Professional Counseling Service PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Detroit, MI
- NPI 1245673342
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.
-
- Mental Health Counselor
- Detroit, MI
- NPI 1952695504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465516800000",
"number": "1851740732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8965 GRIGGS ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482042643",
"telephone_number": "313-909-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8965 GRIGGS ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482042643",
"telephone_number": "313-909-7080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1 ON 1 PROFESSIONAL COUNSELING SERVICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_title_or_position": "MA, LPC, NCC",
"authorized_official_telephone_number": "313-909-7080",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952695504",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.