Bluespace Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801018346 Issued in MI

Legal business name

BLUESPACE COUNSELING

Practice address

149 N Center St
Suite 200
Northville, MI 48167-1486

Phone

(248) 880-8684

Fax

(734) 738-6980

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Vicki L Bucciere, LMSWNPI 1568876803

Title

Owner

Phone

(248) 880-8684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki Bucciere, LMSW, ACSW, SAP

  • Clinical Social Worker
  • Northville, MI
  • NPI 1568876803
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1902204787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44511 BROADMOOR BLVD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688633",
            "telephone_number": "248-880-8684",
            "fax_number": "734-738-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N CENTER ST",
            "address_2": "SUITE 200",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671486",
            "telephone_number": "248-880-8684",
            "fax_number": "734-738-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "BUCCIERE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-880-8684",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Kazdan Bizer
• Randall A Bizer, LMSW
• Andrew Blazo, DMD
• Alan J. Bloch, DPM
• Blue Oceanss LLC
• Brittany Ann Boland, O.D.
• Noah Boone, DPT
• Bormans Inc
• Teren Bouladian
• La Tanya Yvette Boyce, NP

• Clinical Social Worker in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.