CLEMENTINE COUNSELING – NPI #1265360739
Clinic/Center

CLEMENTINE COUNSELING is an AHC clinic located in SHELBY, MI. NPPES recently assigned the NPI number 1265360739 to CLEMENTINE COUNSELING on May 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEMENTINE COUNSELING below.

NPI Profile for
CLEMENTINE COUNSELING

NPI Number
1265360739
Enumeration Date

(about 4 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEMENTINE COUNSELING
Primary location
47818 VAN DYKE AVE
SHELBY, MI 48317-3373
Phone: (586) 323-3620 Fax:
Mailing address
1515 HOFFMAN AVE
ROYAL OAK, MI 48067-3426
Phone: Fax:
Organization Subpart
No
Authorized Official
JASMINE KOUSSA
OWNER
Phone: (586) 741-9594
Updated
Certification Date
May 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.