Ep Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EP THERAPY, PLLC

Practice address

8726 Maplewood Dr # 1
Berrien Springs, MI 49103-1418

Phone

(269) 285-1087

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Erick Pena, LMSWNPI 1437826328

Title

Therapist

Phone

(973) 563-0289

Specialties & licenses 1

Addresses

Practitioners 1

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

• Erick Pena

  • Counselor
  • South Bend, IN
  • NPI 1437826328
  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1245097716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 MAPLEWOOD DR # 1",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031418",
            "telephone_number": "973-563-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 MAPLEWOOD DR # 1",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031418",
            "telephone_number": "269-285-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "973-563-0289",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duplex Psychological Services
• Brandy Caprice Durant
• Samantha Carol Edgar
• Ashley Ellis
• Nina Marie Elmendorf-Steele
• Timothy Scott Erich
• Joshua Espiritu
• Mardi Gras Nanyongo Etchi-Banyi
• Familia Home Care Agency LLC
• Jose Gonzalez II, LLPC

• Mental Health Counselor in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.