Active NPI
Clear Mind Therapy PLLC.
- Mental Health Counselor
- Wyandotte, MI
National Provider Identifier
1194653543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Nicolle Eiben, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryPractitioners & 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.