Prospect Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

640101099 Issued in MI

Legal business name

PROSPECT COUNSELING SERVICES

Practice address

1900 W Stadium Blvd
Ann Arbor, MI 48103-7008

Phone

(734) 239-5686

NPI assigned

Jan 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Shadin Atiyeh, MA LLPC NCC

Title

Professional Counselor

Phone

(734) 239-5686

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1962740910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 BLOSSOM HILL TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481084300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037008",
            "telephone_number": "734-239-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "ATIYEH",
        "authorized_official_first_name": "SHADIN",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "734-239-5686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LLPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "640101099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.