Organization Active NPI

Evolving Perspective

  • Clinic/Center
  • Plymouth, MI
National Provider Identifier
1861171175
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVOLVING PERSPECTIVE
Practice address
308 N Main St
Plymouth, MI 48170-1237
Phone
(734) 255-3439
NPI assigned
Jul 13, 2023
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Nicole Marie Wassel, LMSWNPI 1437384237
Title
Owner
Phone
(734) 255-3439

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Clinic/Center 261Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

308 N Main St
Plymouth, MI 48170-1237

Mailing address

308 N Main St
Plymouth, MI 48170-1237
Phone (734) 255-3439

Other practice location 1

464 N Main St
Plymouth, MI 48170-1347
Phone (734) 255-3439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208001737 MI Part B Supplier - Clinic/Group Practice 8123477692 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

308 N Main St
Plymouth, MI 48170
Phone (734) 255-3439

464 N Main St
Plymouth, MI 48170
Phone (734) 255-3439

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": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1861171175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701237",
            "telephone_number": "734-255-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701237",
            "telephone_number": "734-255-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 N Main St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701347",
            "country_code": "US",
            "telephone_number": "734-255-3439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVING PERSPECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "WASSEL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-255-3439",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.