Organization Active NPI

Candlelight Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1982302261
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CANDLELIGHT COUNSELING PLLC
Practice address
342 S Ashley St Ste 102
Ann Arbor, MI 48104-1351
Phone
(810) 295-1738
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Christopher Sanderson, LMSWNPI 1629775903
Title
Clinical Social Worker
Phone
(810) 295-1738

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

342 S Ashley St Ste 102
Ann Arbor, MI 48104-1351

Mailing address

6 Parkview PL Apt 3
Ann Arbor, MI 48103-3368
Phone (810) 295-1738

National Provider Directory

National Provider Directory

Locations

342 S Ashley St
Ste 102
Ann Arbor, MI 48104
Phone (810) 295-1738

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1982302261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKVIEW PL APT 3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033368",
            "telephone_number": "810-295-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S ASHLEY ST STE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041351",
            "telephone_number": "810-295-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "810-295-1738",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.