Active NPI
Elevate Counseling Services LLC
- Professional Counselor
- Ann Arbor, MI
National Provider Identifier
1083179196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174826945 | Medicaid | MI |
Other names 1
- Elevate Counseling Services LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.