Active NPI
Resilient Healing
- Adolescent and Children Mental Health Clinic/Center
- Trenton, MI
National Provider Identifier
1942716519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 6402026422
- Legal business name
- RESILIENT HEALING
- Practice address
- 3141 W Jefferson Ave
Trenton, MI 48183-2935 - Phone
- (734) 328-2817
- NPI assigned
- Dec 19, 2017
- 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
- Jennifer De Beausset, LPC
- Title
- Owner/ Therapist
- Phone
- (734) 328-2817
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 6402026422 | MI | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 6402026422 | MI | Primary |
Addresses
Primary practice location
3141 W Jefferson Ave
Trenton, MI 48183-2935
Mailing address
21719 W River Rd
Grosse Ile, MI 48138-1443
Phone (215) 919-7220
National Provider Directory
National Provider DirectoryLocations
3141 W Jefferson Ave
Trenton, MI 48183
Phone (734) 328-2817
Practitioners & 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
- Trenton, MI
- NPI 1629302484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513641600000",
"number": "1942716519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21719 W RIVER RD",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381443",
"telephone_number": "215-919-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 W JEFFERSON AVE",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832935",
"telephone_number": "734-328-2817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A",
"authorized_official_last_name": "DE BEAUSSET",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/ THERAPIST",
"authorized_official_telephone_number": "734-328-2817",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MI",
"license": "6402026422",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MI",
"license": "6402026422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.