Organization Active NPI

Secretkeepers PLLC

Doing business as Advanced Professional Counseling and Evaluations

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Clemens, MI
National Provider Identifier
1952808545
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SECRETKEEPERS PLLC
Doing business as
Advanced Professional Counseling and Evaluations
Practice address
311 S Gratiot Ave
Mount Clemens, MI 48043-2480
Phone
(586) 909-2761
NPI assigned
Apr 10, 2018
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Carrie Anne Ryan, LPC, CAADC
Title
Owner
Phone
(586) 909-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

311 S Gratiot Ave
Mount Clemens, MI 48043-2480

Mailing address

311 S Gratiot Ave
Mount Clemens, MI 48043-2480

Other names 1

  • Advanced Professional Counseling and Evaluations Doing business as

National Provider Directory

National Provider Directory
Part of
Secretkeepers PLLC

Locations

311 S Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 909-2761

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1952808545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432480",
            "telephone_number": "586-909-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECRETKEEPERS PLLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-909-2761",
        "authorized_official_credential": "LPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Professional Counseling and Evaluations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.