Embark Counseling Services LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Utica, MI
NPI 1235934993 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1235934993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 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
- Organization subpart
- No
Authorized official
- Name
- Rachel Ellen Young, LMSW
- Title
- Clinical Social Worker
- Phone
- (586) 298-2662
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250624003125 | MI | Part B Supplier - Clinic/Group Practice | 7911419080 |
Receives reassigned benefits from 1 practitioner Practice locations: Utica, MI |
National Provider Directory
Locations
45100 Sterritt St
Ste 204
Utica, MI 48317
Phone (586) 298-2662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
45100 Sterritt St Ste 204
Utica, MI 48317-5847
Mailing address
29075 Pinehurst St
Roseville, MI 48066-2045
Other providers in Utica, MI
- Dr. Fenton and Associates PC
- David James Driest
- Marion Durisek
- Richard B Dybowski
- David Michael Eberhard
- Empower Psychological Services, PLLC
- Laura Maria Espinosa-Gialdi
- Essence of Life Counseling PLLC
- Excelsior Psychological Services, PLC
- Jay Sean Fallon
All providers in Utica, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.