Organization Active NPI

Clear Mind Therapy PLLC.

  • Mental Health Counselor
  • Wyandotte, MI
National Provider Identifier
1194653543
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEAR MIND THERAPY PLLC.
Practice address
1506 16TH St
Wyandotte, MI 48192-3344
Phone
(248) 504-7094
Fax
(248) 504-7094
NPI assigned
May 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Kristen Nicolle Eiben, LMSWNPI 1801308523
Title
Mental Health Therapist
Phone
(248) 504-7094

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1506 16TH St
Wyandotte, MI 48192-3344

Mailing address

1506 16TH St
Wyandotte, MI 48192-3344
Phone (248) 504-7094

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1194653543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 16TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923344",
            "telephone_number": "248-504-7094",
            "fax_number": "313-380-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 16TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923344",
            "telephone_number": "248-504-7094",
            "fax_number": "248-504-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND THERAPY PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "EIBEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "NICOLLE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "248-504-7094",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.