Organization Active NPI

Onsite Substance Abuse Testing LLC - New Frontier Counseling Services

  • Community/Behavioral Health Agency
  • Ferndale, MI
National Provider Identifier
1891015814
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
631332 Issued in MI
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.