E Squared Behavioral Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

E SQUARED BEHAVIORAL HEALTH, PLLC

Practice address

1204 Bedford Rd
Grosse Pointe Park, MI 48230-1116

Phone

(313) 451-1685

NPI assigned

Apr 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jason Eldred, LPCNPI 1891200671

Title

Owner

Phone

(313) 451-1685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Michael Eldred, MA, LPC, CRC

  • Mental Health Counselor
  • Clinton Township, MI
  • NPI 1891200671
  Medicare reassignment NPD Authorized official
• Dawn Miller, LMSW

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1326650516
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1053008136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301116",
            "telephone_number": "313-451-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301116",
            "telephone_number": "313-451-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SQUARED BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "ELDRED",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-451-1685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ellis Decker, MD
• Nichole M Dessinger-Flynn, LLSW
• Aurore Charon Diehl
• Ananeshia Dubose
• Francis Joseph Dutoit, MSW
• Engedi Health
• Miriam Ann Engstrom, PSYD, LP
• Rachel Enright
• Erin Beato Ma LLP PC
• Belinda Dianne Evans Ebio, LMSW

• Mental Health Counselor in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.