Active NPI
Beyond the Surface Counseling & Consulting LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton Township, MI
National Provider Identifier
1912618752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BEYOND THE SURFACE COUNSELING & CONSULTING LLC
- Practice address
- 41800 Hayes Rd Ste 522C
Clinton Township, MI 48038-1876 - Phone
- (586) 277-8999
- NPI assigned
- Dec 13, 2022
- 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
- Chasity Shelton, LMSW
- Title
- Owner/Clinical Director
- Phone
- (586) 277-8999
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
41800 Hayes Rd Ste 522C
Clinton Township, MI 48038-1876
Mailing address
37583 Charter Oaks Blvd
Clinton Township, MI 48036-4406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230206001893 | MI | Part B Supplier - Clinic/Group Practice | 6204208986 |
Receives reassigned benefits from 2 practitioners Practice locations: Clinton Township, MI |
National Provider Directory
National Provider DirectoryLocations
41800 Hayes Rd
Ste 522C
Clinton Township, MI 48038
Phone (586) 277-8999
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Clair Shores, MI
- NPI 1992939052
Clinic/Center, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670889600000",
"number": "1912618752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37583 CHARTER OAKS BLVD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480364406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41800 HAYES RD STE 522C",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381876",
"telephone_number": "586-277-8999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND THE SURFACE COUNSELING & CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "CHASITY",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "586-277-8999",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.