Tiny Feet Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TINY FEET WELLNESS

Practice address

41570 Hayes Rd Ste C
Clinton TWP, MI 48038-5819

Phone

(586) 231-5298

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Soley

Title

Partner/Therapist

Phone

(586) 231-5298

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1972115194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41570 HAYES RD STE C",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385819",
            "telephone_number": "586-231-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41570 HAYES RD STE C",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385819",
            "telephone_number": "586-231-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY FEET WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "SOLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PARTNER/THERAPIST",
        "authorized_official_telephone_number": "586-231-5298"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tinyfeetwellness.net",
            "affiliation": "N",
            "address_1": "41570 Hayes Rd Ste C",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480385819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Thomas-Poppe, M.S., L.L.P.
• Shoma Thomas
• Kelly Ann Thomson, BS SST
• Gerlene-Nicole Tilley
• Sara Tinawi, DDS
• Michael J Tisdall, P.T.A.
• Tlchomecare LLC (Shasta Smith)
• Teresa Lynn Tocco, RN NP
• Michael E Tofteland, M.D.
• Emily Lou Torongo, PHARM D

• Clinical Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.