NPIMap

Organization Active NPI

Willow Creek Counseling

  • Community/Behavioral Health Agency
  • Davisburg, MI
National Provider Identifier
1922411198
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401014143 Issued in MI
Legal business name
WILLOW CREEK COUNSELING
Practice address
12795 Fountain SQ
Davisburg, MI 48350-9991
Phone
(248) 250-0140
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Mrs. Stacie Champeau, MA, LLPCNPI 1629481767
Title
Professional Counselor
Phone
(248) 250-0140

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
Community/Behavioral Health Agency 251S00000X 6401014143 MI Primary

Addresses

Primary practice location

12795 Fountain SQ
Davisburg, MI 48350-9991

Mailing address

12795 Fountain SQ
Davisburg, MI 48350-9991
Phone (248) 250-0140

National Provider Directory

National Provider Directory

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1922411198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12795 FOUNTAIN SQ",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483509991",
            "telephone_number": "248-250-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12795 FOUNTAIN SQ",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483509991",
            "telephone_number": "248-250-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "CHAMPEAU",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "248-250-0140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LLPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401014143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davisburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.