Individual provider Active NPI

Monique Terese Spurlock

  • Counselor
  • Grosse Pointe Park, MI
National Provider Identifier
1922851773
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
15001 Kercheval Ave Unit 2018
Grosse Pointe Park, MI 48230-1361
Phone
(313) 463-1873
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

15001 Kercheval Ave Unit 2018
Grosse Pointe Park, MI 48230-1361

Mailing address

15001 Kercheval Ave Unit 2018
Grosse Pointe Park, MI 48230-1361
Phone (313) 463-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Classy Comfortt Care LLC Current Accepting new patients

Locations

15001 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 263-7245

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1922851773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 KERCHEVAL AVE UNIT 2018",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301361",
            "telephone_number": "313-463-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 KERCHEVAL AVE UNIT 2018",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301361",
            "telephone_number": "313-463-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "MONIQUE",
        "middle_name": "TERESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.