Organization Active NPI

Counseling Beyond Borders LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
National Provider Identifier
1952923856
Registry record updated May 13, 2020
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
COUNSELING BEYOND BORDERS LLC
Doing business as
Counseling Beyond Borders LLC
Practice address
4221 Moran St
Detroit, MI 48207-1705
Phone
(313) 908-8111
NPI assigned
May 13, 2020
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNSELING BEYOND BORDERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Tanya Ro Shun Bankston, LLPCNPI 1972134591
Title
Owner
Phone
(313) 908-8111

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4221 Moran St
Detroit, MI 48207-1705

Mailing address

22430 Gratiot Ave Unit 620
Eastpointe, MI 48021-7022

Other names 1

  • Counseling Beyond Borders LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Counseling Beyond Borders LLC

Locations

22430 Gratiot Ave
Unit 620
Eastpointe, MI 48021

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1952923856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22430 GRATIOT AVE UNIT 620",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480217022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MORAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071705",
            "telephone_number": "313-908-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING BEYOND BORDERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNSELING BEYOND BORDERS LLC",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "RO SHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-908-8111",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Beyond Borders LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.