IDENTITY COUNSELING PSYCHOLOGY WEST PLLC (NPI# 1720600695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720600695 |
| Entity Type | Organization |
| Organization Name | IDENTITY COUNSELING PSYCHOLOGY WEST PLLC |
| Practice Address |
635 S Maple Rd Ste 2 Ann Arbor MI 48103-3838 |
| Practice Telephone | 7346458944 |
| Mailing Telephone | 7346458944 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | MR. TIMOTHY WILKINS (OWNER) |
| Authorized Official Telephone | 7345450332 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
635 S MAPLE RD STE 2 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972918134 | Katherine Tucker | Social Worker | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2014-06-26 |
| 1932707403 | Megan Lynn Miller | Counselor | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2020-10-15 |
| 1750993747 | Ashley Patricia Safiedine | Counselor | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2020-08-20 |
| 1972111714 | Krystol Alpert | Counselor | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2020-07-17 |
| 1437773348 | Claire Beaulieu | Psychologist | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2020-06-05 |
| 1700331055 | Hoffman Psychological Associates Pllc | Psychologist | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2016-08-16 |
| 1164882817 | Sara Helene Greschuk | Social Worker | 635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838 | 2016-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1437769486 | Margaret Mailloux Scheurer | Counselor | 4401 Park Rd, Ann Arbor, MI 48103-9508 | 2020-08-05 |
| 1689220014 | Rachel Anna Stewart | Counselor | 3830 Packard St Ste 160, Ann Arbor, MI 48108-2357 | 2019-08-12 |
| 1720630924 | Sarah Trumble Noda | Counselor | 1443 Marlborough Dr, Ann Arbor, MI 48104-6220 | 2019-07-09 |
| 1619415619 | Linda Ohl | Counselor | 5086 Abingdon Cir, Ann Arbor, MI 48108-5930 | 2017-02-09 |
| 1205287133 | Rita Louise Morris | Counselor | 1900 W Stadium Blvd Ste 2, Ann Arbor, MI 48103-7008 | 2016-06-22 |
| 1316391600 | Margaret Kelley | Counselor | 6360 Jackson Rd Ste A, Ann Arbor, MI 48103-7801 | 2016-04-22 |
| 1437522836 | Alyssa Alfieri | Counselor | 3032 Cloverly Ln, Ann Arbor, MI 48108-3083 | 2015-11-06 |
| 1497126791 | Amanda Ann Beck | Counselor | 4836 Washtenaw Ave, C7, Ann Arbor, MI 48108-3430 | 2015-10-13 |
| 1164849626 | Thomas Tsai | Counselor | 1917 Boulder Dr, Ann Arbor, MI 48104-4165 | 2014-03-23 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on IDENTITY COUNSELING PSYCHOLOGY WEST PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.