Organization Active NPI

Shimmel Counseling Agency, LLC

  • Adult Mental Health Clinic/Center
  • Birmingham, MI
National Provider Identifier
1982132247
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6401012954 Issued in MI
Legal business name
SHIMMEL COUNSELING AGENCY, LLC
Practice address
950 E Maple Rd Ste 122
Birmingham, MI 48009-6408
Phone
(248) 821-2981
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Authorized official

Name
Douglas Shimmel, MA, LLPCNPI 1710252192
Title
Owner/Counselor
Phone
(248) 821-2981

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6401012954 MI Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6401012954 MI

Addresses

Primary practice location

950 E Maple Rd Ste 122
Birmingham, MI 48009-6408

Mailing address

2329 Harvard Rd
Berkley, MI 48072-1751
Phone (248) 821-2981

National Provider Directory

National Provider Directory

Locations

950 E Maple Rd
Ste 122
Birmingham, MI 48009
Phone (248) 821-2981

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1982132247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 HARVARD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721751",
            "telephone_number": "248-821-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD STE 122",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096408",
            "telephone_number": "248-821-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMMEL COUNSELING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "SHIMMEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "248-821-2981",
        "authorized_official_credential": "MA, LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6401012954",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6401012954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.