Active NPI
Onsite Substance Abuse Testing LLC - New Frontier Counseling Services
- Community/Behavioral Health Agency
- Ferndale, MI
National Provider Identifier
1891015814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 631332
- Legal business name
- ONSITE SUBSTANCE ABUSE TESTING LLC - NEW FRONTIER COUNSELING SERVICES
- Practice address
- 22720 Woodward Ave Ste 205
Ferndale, MI 48220-2906 - Phone
- (248) 399-8032
- Fax
- (248) 399-8042
- NPI assigned
- Jun 2, 2010
- Last updated
- Dec 16, 2010
- 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
- Mr. Jacob Fakhoury
- Title
- President/Ceo
- Phone
- (248) 399-8032
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 500450 | MI | |
| Public Health or Welfare Agency | 251K00000X | 631332 | MI | |
| Public Health or Welfare Agency | 251K00000X | 823129 | MI | |
| Public Health or Welfare Agency | 251K00000X | 810364 | MI | |
| Community/Behavioral Health Agency | 251S00000X | 823129 | MI | |
| Community/Behavioral Health Agency | 251S00000X | 500450 | MI | |
| Community/Behavioral Health Agency | 251S00000X | 810364 | MI | |
| Community/Behavioral Health Agency | 251S00000X | 631332 | MI | Primary |
Addresses
Primary practice location
22720 Woodward Ave Ste 205
Ferndale, MI 48220-2906
Mailing address
22720 Woodward Ave Ste 205
Ferndale, MI 48220-2906
Phone (248) 399-8032
National Provider Directory
National Provider DirectoryLocations
22720 Woodward Ave
Ste 205
Ferndale, MI 48220
Phone (248) 399-8032
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.
-
- Clinical Social Worker
- Ferndale, MI
- NPI 1679895551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292457600000",
"number": "1891015814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22720 WOODWARD AVE STE 205",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202906",
"telephone_number": "248-399-8032",
"fax_number": "248-399-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22720 WOODWARD AVE STE 205",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202906",
"telephone_number": "248-399-8032",
"fax_number": "248-399-8042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONSITE SUBSTANCE ABUSE TESTING LLC - NEW FRONTIER COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-02",
"last_updated": "2010-12-16",
"status": "A",
"authorized_official_last_name": "FAKHOURY",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "248-399-8032",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": "500450",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": "631332",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": "823129",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": "810364",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "823129",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "500450",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "810364",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "631332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.