Quinn Counseller, OTD, OTR/L, MBA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013196 Issued in MI

Practice address

30400 Telegraph Rd Ste 150
Bingham Farms, MI 48025-5819

Phone

(517) 285-4512

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuroplastic Rehab LLC

  • Occupational Therapist
  • Clawson, MI
  • NPI 1205698362
  NPD Authorized official

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1992336077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 150",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 150",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255819",
            "telephone_number": "517-285-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNSELLER",
        "first_name": "QUINN",
        "credential": "OTD, OTR/L, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weston Corbitt
• Toni Diane Cornell
• Melanie Corsten, PA-C
• Elizabeth Cotton-Wells, CRNA
• Chelsea Council
• Luc Douglas Courter
• Carol Jean Cox, CRNA
• Sarah Cox
• Amanda Coyle
• Peter Thomas Cracchiolo Jr., D.D.S.

• Occupational Therapist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.