Organization Active NPI

Teresa Traverso LLC

Doing business as Collage Counseling Center

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1871355115
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TERESA TRAVERSO LLC
Doing business as
Collage Counseling Center
Practice address
23332 Orchard Lake Rd Ste C
Farmington Hills, MI 48336-3280
Phone
(313) 400-1705
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Teresa TraversoNPI 1821454901
Title
Owner
Phone
(313) 400-1705

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 1

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

Addresses

Primary practice location

23332 Orchard Lake Rd Ste C
Farmington Hills, MI 48336-3280

Mailing address

23332 Orchard Lake Rd Ste C
Farmington Hills, MI 48336-3280
Phone (313) 400-1705

Other names 1

  • Collage Counseling Center Doing business as

National Provider Directory

National Provider Directory

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1871355115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23332 ORCHARD LAKE RD STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363280",
            "telephone_number": "313-400-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23332 ORCHARD LAKE RD STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363280",
            "telephone_number": "313-400-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA TRAVERSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "TRAVERSO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-400-1705"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collage Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.