Active NPI
Integrative Counseling Services of Michigan, PLLC
- Professional Counselor
- Macomb, MI
National Provider Identifier
1912775818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- INTEGRATIVE COUNSELING SERVICES OF MICHIGAN, PLLC
- Practice address
- 15869 Spur Dr
Macomb, MI 48042-2214 - Phone
- (586) 354-3127
- NPI assigned
- Dec 20, 2023
- 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
- Mrs. Jeneve Hines, MA LPC
- Title
- Ceo/Psychotherapist
- Phone
- (586) 354-3127
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
15869 Spur Dr
Macomb, MI 48042-2214
Mailing address
15869 Spur Dr
Macomb, MI 48042-2214
Phone (586) 354-3127
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Macomb, MI
- NPI 1275771867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1912775818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15869 SPUR DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480422214",
"telephone_number": "586-354-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15869 SPUR DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480422214",
"telephone_number": "586-354-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE COUNSELING SERVICES OF MICHIGAN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "JENEVE",
"authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "586-354-3127",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.