Katie Eberhart, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116142 Issued in MI

Practice address

210 Court St Ste B
Mount Pleasant, MI 48858-2358

Phone

(989) 572-0246

Fax

(989) 355-0719

NPI assigned

May 17, 2023

Last updated

May 17, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Mount Pleasant Counseling, PLLC

  dba Greater Michigan Gender Services

  • Clinical Social Worker
  • Mt Pleasant, MI
  • NPI 1538966254
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1194416438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COURT ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582358",
            "telephone_number": "989-572-0246",
            "fax_number": "989-355-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COURT ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582358",
            "telephone_number": "989-572-0246",
            "fax_number": "989-355-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "KATIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donal James Dwyer V, LPC
• Julie Dye, LLPC
• Ashlee Marie Dyja
• Norman Richard Dzingle, D.D.S.
• Kendra Louwan Eagly, LLBSW
• Arshia Ebrahimi, LP
• Emily Taylor Edel
• Edify Behavioral Applications LLC
• Utibe Effiong, MBBCH
• Ryan Robert Egeler, BEHAVIOR ASSISTANT

• Clinical Social Worker in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.