Evergreen Hope Counseling, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EVERGREEN HOPE COUNSELING, PLLC

Practice address

1176 S Main St Ste 201
Plymouth, MI 48170-2252

Phone

(920) 246-1465

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Leah Kathryn-West DeboneNPI 1730701095

Title

LPC

Phone

(920) 246-1465

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.

• Leah Kathryn-West Debone

  • Professional Counselor
  • Plymouth, MI
  • NPI 1730701095
  Medicare reassignment NPD Authorized official
• Jennifer Cyplik

  • Mental Health Counselor
  • Redford, MI
  • NPI 1700236569
  Medicare reassignment

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1053022285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 S MAIN ST STE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702252",
            "telephone_number": "920-246-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 S MAIN ST STE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702252",
            "telephone_number": "920-246-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOPE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DEBONE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "KATHRYN-WEST",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "920-246-1465",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Etienne, CNIM
• Eunoia Mental Health LLC
• David Evans
• Donald Evans
• Eventus Ecs - Michigan, PLLC
• Melissa Samantha Everhart
• Evolving Perspective
• Jessica Ewart
• Samantha S Eyerman, CTRS
• Angelina Fadhil

• Counselor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.