Organization Active NPI

Transitions of Ann Arbor Counseling Services LLC

  • Social Worker
  • West Bloomfield, MI
National Provider Identifier
1902397763
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
TRANSITIONS OF ANN ARBOR COUNSELING SERVICES LLC
Practice address
2859 Ashley LN
West Bloomfield, MI 48324-4110
Phone
(248) 396-6271
NPI assigned
May 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Rebecca DeraudNPI 1568965358
Title
Owner
Phone
(248) 396-6271

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801080766 MI

Addresses

Primary practice location

2859 Ashley LN
West Bloomfield, MI 48324-4110

Mailing address

2859 Ashley LN
West Bloomfield, MI 48324-4110
Phone (248) 396-6271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180705000834 MI Part B Supplier - Clinic/Group Practice 4284980269 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

2035 Hogback Rd
Ste 105
Ann Arbor, MI 48105
Phone (248) 396-6271

2350 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (248) 396-6271

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1902397763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 ASHLEY LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244110",
            "telephone_number": "248-396-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 ASHLEY LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244110",
            "telephone_number": "248-396-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS OF ANN ARBOR COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-28",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "DERAUD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-396-6271"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.