Organization Active NPI

Rea Counseling Services, PC

  • Community/Behavioral Health Agency
  • Shelby TWP, MI
National Provider Identifier
1932400348
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301014258 Issued in MI
Legal business name
REA COUNSELING SERVICES, PC
Practice address
51539 Van Dyke Ave
Shelby TWP, MI 48316
Phone
(586) 461-2111
Fax
(586) 755-6494
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Dr. Natalie Rose Rea-Michalak, PSYD, LP, LMSWNPI 1861725814
Title
President/Ceo
Phone
(586) 495-4704

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 6301014258 MI Primary

Addresses

Primary practice location

51539 Van Dyke Ave
Shelby TWP, MI 48316

Mailing address

51539 Van Dyke Ave
Shelby TWP, MI 48316-4447
Phone (586) 461-2111

Other practice location 1

43599 Schoenherr Rd
Suite 200-C
Sterling Heights, MI 48313-1180
Phone (586) 495-4704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110331000629 MI Part B Supplier - Clinic/Group Practice 6709069545 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

51539 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 461-2111

Practitioners & affiliated clinicians

Practitioners 5

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1932400348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51539 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483164447",
            "telephone_number": "586-461-2111",
            "fax_number": "586-755-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51539 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-461-2111",
            "fax_number": "586-755-6494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43599 Schoenherr Rd",
            "address_2": "Suite 200-C",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483131180",
            "country_code": "US",
            "telephone_number": "586-495-4704",
            "fax_number": "586-755-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REA COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "REA-MICHALAK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "586-495-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301014258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.