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IRISE COUNSELING SERVICE LLC
NPI 1619122009
Social Worker - Clinical in Detroit, MI

Active since November 26, 2008
2711 E JEFFERSON AVE, DETROIT, MI 48207(313) 657-5237 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Irise Counseling Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRISE COUNSELING SERVICE LLC (NPI 1619122009) is a healthcare organization registered as a clinical in Detroit, Michigan and active in the NPI registry since November 2008. The organization lists Chlorine F Wimberly, Owner, as its authorized official.

NPPES Registry Identity

NPI1619122009
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameIRISE COUNSELING SERVICE LLC
Location Address2711 E JEFFERSON AVEDetroit, MI 48207-4105
Mailing Address2711 E Jefferson AveDetroit, MI 48207-4105 · (313) 657-5237
Phone(313) 657-5237
Organization SubpartNo
Authorized OfficialChlorine F WimberlyOwner · (313) 657-5237
Enumeration DateNovember 26, 2008
Last NPPES UpdateJanuary 3, 2018
✔ NPI 1619122009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2711 E JEFFERSON AVE, Detroit, MI 48207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irise Counseling Service Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Irise Counseling Service LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chlorine Wimberly, LCSW, MA
Clinical Social Worker
NPI 1598910986
2711 E. JEFFERSON
Detroit, MI 48207
(313) 657-5237
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irise Counseling Service LLC's NPI number?

The NPI number for Irise Counseling Service LLC is 1619122009. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Irise Counseling Service LLC located?

Irise Counseling Service LLC is located at 2711 E Jefferson Ave, Detroit, MI 48207. The listed phone number is (313) 657-5237.

What is Irise Counseling Service LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Irise Counseling Service LLC enrolled in Medicare?

Yes. Irise Counseling Service LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Irise Counseling Service LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Irise Counseling Service LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Irise Counseling Service LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Irise Counseling Service LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Irise Counseling Service LLC was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.