NPIMap

Organization Active NPI

Plymouth Mental Health

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1073164349
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PLYMOUTH MENTAL HEALTH
Practice address
40600 Ann Arbor Rd E Ste 175
Plymouth, MI 48170-4664
Phone
(734) 674-7579
NPI assigned
Sep 26, 2019
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Alishia Ebel, LMSWNPI 1669792958
Title
Owner
Phone
(734) 674-7579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

40600 Ann Arbor Rd E Ste 175
Plymouth, MI 48170-4664

Mailing address

40600 Ann Arbor Rd E Ste 175
Plymouth, MI 48170-4664
Phone (734) 674-7579

Other practice location 1

2020 Hogback Rd Ste 12
Ann Arbor, MI 48105-9752
Phone (734) 674-7579

Other names 1

  • Alishia Ebel, LMSW, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2020 Hogback Rd
Ste 12
Ann Arbor, MI 48105
Phone (734) 674-7579

40600 Ann Arbor Rd E
Ste 175
Plymouth, MI 48170
Phone (734) 674-7579

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1073164349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40600 ANN ARBOR RD E STE 175",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704664",
            "telephone_number": "734-674-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40600 ANN ARBOR RD E STE 175",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704664",
            "telephone_number": "734-674-7579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Hogback Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059752",
            "country_code": "US",
            "telephone_number": "734-674-7579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLYMOUTH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "EBEL",
        "authorized_official_first_name": "ALISHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-674-7579",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alishia Ebel, LMSW, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.