Organization Active NPI

Timber Creek Counseling, LLC

  • Clinical Psychologist
  • Chelsea, MI
National Provider Identifier
1194213322
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TIMBER CREEK COUNSELING, LLC
Practice address
14800 E Old US Highway 12
Chelsea, MI 48118-2110
Phone
(734) 719-0380
NPI assigned
Apr 24, 2018
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Andrew CuthbertNPI 1528597929
Title
Owner
Phone
(734) 719-0197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

14800 E Old US Highway 12
Chelsea, MI 48118-2110

Mailing address

14800 E Old US Highway 12
Chelsea, MI 48118-2110
Phone (734) 719-0197

Other practice location 1

134 W Middle St Ste H
Chelsea, MI 48118-1647
Phone (734) 719-0380

Other practice location 2

2301 S Huron Pkwy Ste 3D
Ann Arbor, MI 48104-5133
Phone (734) 719-0380

Other practice location 3

405 Little Lake Dr Ste A
Ann Arbor, MI 48103-6220
Phone (734) 719-0380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200430001328 MI Part B Supplier - Clinic/Group Practice 4688004815 Receives reassigned benefits from 3 practitioners
Practice locations: Ann Arbor, MI; Chelsea, MI

National Provider Directory

National Provider Directory

Locations

2301 S Huron Pkwy
Ste 3D
Ann Arbor, MI 48104
Phone (734) 719-0380

1101 S Main St
Unit 353
Chelsea, MI 48118

134 W Middle St
Ste H
Chelsea, MI 48118
Phone (734) 719-0197

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1194213322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 E OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182110",
            "telephone_number": "734-719-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 E OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182110",
            "telephone_number": "734-719-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 W Middle St Ste H",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181647",
            "country_code": "US",
            "telephone_number": "734-719-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 S Huron Pkwy Ste 3D",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481045133",
            "country_code": "US",
            "telephone_number": "734-719-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Little Lake Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481036220",
            "country_code": "US",
            "telephone_number": "734-719-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIMBER CREEK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "CUTHBERT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-719-0197"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.