Embark Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMBARK COUNSELING SERVICES LLC

Practice address

45100 Sterritt St Ste 204
Utica, MI 48317-5847

Phone

(586) 298-2662

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Ellen Young, LMSWNPI 1851827448

Title

Clinical Social Worker

Phone

(586) 298-2662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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.

• Rachel Ellen Young

  • Clinical Social Worker
  • Utica, MI
  • NPI 1851827448
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1235934993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29075 PINEHURST ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45100 STERRITT ST STE 204",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175847",
            "telephone_number": "586-298-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARK COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "586-298-2662",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Fenton and Associates PC
• David James Driest
• Marion Durisek, M. ED, L.P.C.
• Richard B Dybowski, D.C.
• David Michael Eberhard, D.D.S.
• Empower Psychological Services, PLLC
• Laura Maria Espinosa-Gialdi, PSYS, TLLP
• Essence of Life Counseling PLLC
• Excelsior Psychological Services, PLC
• Jay Sean Fallon, LLMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Utica, MI
• Providers in Utica, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

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