Organization Active NPI

Counseling Connection

  • Counselor
  • Southfield, MI
National Provider Identifier
1942388350
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801018777 Issued in MI
Legal business name
COUNSELING CONNECTION
Practice address
29777 Telegraph Rd
Onyx Plaza
Southfield, MI 48034
Phone
(248) 356-8399
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Ms. Kim Travis-EwingNPI 1659692457
Title
Ceo Therapist
Phone
(248) 356-8399

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 6801018777 MI Primary

Addresses

Primary practice location

29777 Telegraph Rd
Onyx Plaza
Southfield, MI 48034

Mailing address

18865 Bretton Dr
Detroit, MI 48223
Phone (248) 356-8399

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1942388350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18865 BRETTON DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48223",
            "telephone_number": "248-356-8399",
            "fax_number": "248-353-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29777 TELEGRAPH RD",
            "address_2": "ONYX PLAZA",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-356-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "TRAVIS-EWING",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO THERAPIST",
        "authorized_official_telephone_number": "248-356-8399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801018777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.