Organization Active NPI

Counseling and Wellness Solutions, LLC

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1912545336
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELING AND WELLNESS SOLUTIONS, LLC
Practice address
7460 M E Cad Blvd Ste 1
Clarkston, MI 48348-4270
Phone
(248) 365-0450
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Brian Harvey Taylor, LMSWNPI 1255563805
Title
Owner
Phone
(810) 265-2171

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7460 M E Cad Blvd Ste 1
Clarkston, MI 48348-4270

Mailing address

4526 Perry Rd
Grand Blanc, MI 48439-1626
Phone (810) 265-2171

Other practice location 1

4526 Perry Rd
Grand Blanc, MI 48439-1626
Phone (810) 265-2171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200214000695 MI Part B Supplier - Clinic/Group Practice 2769818509 Receives reassigned benefits from 1 practitioner
Practice locations: Clarkston, MI; Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

7460 M E Cad Blvd
Ste 1
Clarkston, MI 48348
Phone (248) 365-0450

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1912545336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391626",
            "telephone_number": "810-265-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 M E CAD BLVD STE 1",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484270",
            "telephone_number": "248-365-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Perry Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391626",
            "country_code": "US",
            "telephone_number": "810-265-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING AND WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-265-2171",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

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