OrganizationCounseling Associates, IncorporatedSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6960 Orchard Lake Rd, 100, West Bloomfield, MI 48322-4515(248) 626-1500PECOS EnrollmentBased on the most recent information from CMS, provider Counseling Associates, Incorporated does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1356716559Provider TypeOrganizationFull NameCounseling Associates, IncorporatedSubpartNoEnumeration Date12/14/2015Last Updated12/14/2015Contact InformationPractice LocationPractice Address6960 Orchard Lake Rd, 100, West Bloomfield, MI 48322-4515Phone(248) 626-1500FaxUnlisted FaxMailing LocationMailing Address6960 Orchard Lake Rd, 100, West Bloomfield, MI 48322-4515PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGrossberg, Alex J. (Credentialing Coordinator)Phone(248) 626-1500Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0P12130DescriptionOtherIssuerMEDICARE PTAN FOR PHDSID0P12140DescriptionOtherIssuerMEDICARE PTAN FOR MSWSID0P11960DescriptionOtherIssuerMEDICARE PTAN FOR MDSID1175880DescriptionMedicaidIssuerUnlistedMichigan