Individual provider Active NPI

Eileen M Craig, MA COUNSELING

  • Professional Counselor
  • Brighton, MI
National Provider Identifier
1164914727
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016665 Issued in MI
Practice address
3421 Pine Creek Dr
Brighton, MI 48114-8694
Phone
(517) 861-6862
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016665 MI Primary

Addresses

Primary practice location

3421 Pine Creek Dr
Brighton, MI 48114-8694

Mailing address

3421 Pine Creek Dr
Brighton, MI 48114-8694
Phone (517) 861-6862

Other names 1

  • Eileen M Craig Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408000172 MI Practitioner - Mental Health Counselor 9830664861 Practice locations: Brighton, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2540 Harte Dr
Suite B
Brighton, MI 48114-7002

2540 Harte Dr
Suite B
Brighton, MI 48114-7014
Phone (517) 861-6862

7373 Nichols Rd
Gaines, MI 48436-9714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401016665MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Therapy Services Professional CurrentSince Aug 4, 2024 Accepting new patients

Locations

2540 Harte Dr
Ste B
Brighton, MI 48114
Phone (517) 861-6862

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1164914727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 PINE CREEK DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148694",
            "telephone_number": "517-861-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 PINE CREEK DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148694",
            "telephone_number": "517-861-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "MA COUNSELING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "CRAIG",
            "middle_name": "M",
            "credential": "MA, LLPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.