Organization Active NPI

Elevate Counseling Services LLC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1083179196
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ELEVATE COUNSELING SERVICES LLC
Doing business as
Elevate Counseling Services LLC
Practice address
2737 Holyoke LN
Ann Arbor, MI 48103-2202
Phone
(734) 274-9922
NPI assigned
Feb 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Ms. Kassie J Dunn-Weiland, LPC, LCSW
Title
Owner
Phone
(734) 274-9922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2737 Holyoke LN
Ann Arbor, MI 48103-2202

Mailing address

2737 Holyoke LN
Ann Arbor, MI 48103-2202
Phone (734) 274-9922

Other identifiers 1

IdentifierTypeStateIssuer
1174826945MedicaidMI

Other names 1

  • Elevate Counseling Services LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507001309 MI Part B Supplier - Clinic/Group Practice 7911249271 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1083179196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 HOLYOKE LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032202",
            "telephone_number": "734-274-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 HOLYOKE LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032202",
            "telephone_number": "734-274-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "DUNN-WEILAND",
        "authorized_official_first_name": "KASSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-274-9922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174826945",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.