NPIMap

Organization Active NPI

Emhpe Michigan PLLC

Doing business as Ellie Mental Health

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1093420960
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMHPE MICHIGAN PLLC
Doing business as
Ellie Mental Health
Practice address
238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone
(616) 312-2989
NPI assigned
Jan 16, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Rebecca Stevens, LMSWNPI 1427295773
Title
Clinic Director
Phone
(616) 427-2966

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

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Mailing address

238 Hoover Blvd Ste 30
Holland, MI 49423-3782
Phone (616) 312-2989

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230324000348 MI Part B Supplier - Clinic/Group Practice 4082088588 Receives reassigned benefits from 13 practitioners
Practice locations: East Lansing, MI; Grand Haven, MI; Holland, MI

National Provider Directory

National Provider Directory

Locations

830 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 624-1416

600 S Beacon Blvd
Ste D
Grand Haven, MI 49417
Phone (616) 691-6764

238 Hoover Blvd
Holland, MI 49423
Phone (616) 312-2989

238 Hoover Blvd
Ste 30
Holland, MI 49423
Phone (616) 312-2989

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1093420960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMHPE MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "616-427-2966",
        "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": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.