Adrianna Marisol Pena-Van Den Bossche, NCC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451023863 Issued in MI

Practice address

25899 W 12 Mile Rd Ste 320
Southfield, MI 48034-8325

Phone

(734) 335-4355

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adrianna Marisol Pena Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Place of Mind LLC

  • Mental Health Counselor
  • South Lyon, MI
  • NPI 1861357212
  NPD (past) Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1093208142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348325",
            "telephone_number": "734-335-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-VAN DEN BOSSCHE",
        "first_name": "ADRIANNA",
        "middle_name": "MARISOL",
        "credential": "NCC, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANNA",
            "last_name": "PENA",
            "middle_name": "MARISOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peggy Cheng, M.D., PLLC
• Diamond Keaya Pegues
• Brishek Peguese
• Ronald D Pelavin, M.D.
• Benjamin Daniel Pelton
• Margarita Pena, MD
• Catherine Pence
• Remele Penick
• Nancy Penman
• Steven L Penn, CRNA

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.