Organization Active NPI

Inner Wisdom Counseling

  • Community/Behavioral Health Agency
  • Northville, MI
National Provider Identifier
1871739417
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301005242 Issued in MI
Legal business name
INNER WISDOM COUNSELING
Practice address
224 S Main St
Northville, MI 48167-1645
Phone
(248) 348-1270
Fax
(248) 347-3393
NPI assigned
Jan 4, 2009
Last updated
Jan 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Authorized official

Name
Dr. David Michael Connell, PHDNPI 1649210931
Title
President
Phone
(248) 348-1270

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6301005242 MI Primary

Addresses

Primary practice location

224 S Main St
Northville, MI 48167-1645

Mailing address

224 S Main St
Northville, MI 48167-1645
Phone (248) 348-1270

Other identifiers 1

IdentifierTypeStateIssuer
1649210931OtherMIINDIVDUAL NPI

National Provider Directory

National Provider Directory

Locations

224 S Main St
Northville, MI 48167
Phone (248) 348-1270

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": "1231027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1871739417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671645",
            "telephone_number": "248-348-1270",
            "fax_number": "248-347-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671645",
            "telephone_number": "248-348-1270",
            "fax_number": "248-347-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WISDOM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-348-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301005242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVDUAL NPI",
            "identifier": "1649210931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; 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.