=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922526441
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES CASOLARI LPC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2017
-----------------------------------------------------
Last Update Date | 07/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24445 NORTHWESTERN HWY STE 100
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48075-2436
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-276-8000
-----------------------------------------------------
Fax | 248-276-9280
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3399 E GRAND RIVER AVE STE 102
-----------------------------------------------------
City | HOWELL
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48843-7555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-672-8769
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 6401224046
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------