Therasupport, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301001432 Issued in MI

Legal business name

THERASUPPORT, LLC

Practice address

4343 Concourse Dr.
Suite 250
Ann Arbor, MI 48108-8672

Phone

(734) 677-0200

Fax

(734) 677-3310

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Christy L Delph

Title

Office Manager

Phone

(734) 677-0200

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Thera Support2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thera Support

  • Psychologist
  • Ann Arbor, MI
  • NPI 1235324484
  NPD tax ID

Practitioners 7

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

• Thomas S Rosenbaum, PH.D.

  • Psychologist
  • Ann Arbor, MI
  • NPI 1518013986
  Medicare reassignment NPD
• Jennifer R Greca, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Ann Arbor, MI
  • NPI 1467846808
  Medicare reassignment
• Keri Taylor Ellis, MA, LPC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1588116842
  NPD (past)
• Jennifer Anne Feurt, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Flint, MI
  • NPI 1316328933
  NPD (past)
• Wanda M Heinz, MS, LLP

  • Psychologist
  • Ann Arbor, MI
  • NPI 1902156763
  NPD (past)
• Marcia Elena Johnson, PSYD

  • Clinical Psychologist
  • Flint, MI
  • NPI 1215267257
  NPD (past)
• Violeta Marija Majauskas, LMSW, ACSW, BCD, CRC

  • Mental Health Counselor
  • Plymouth, MI
  • NPI 1679529275
  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1295129799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 CONCOURSE DR.",
            "address_2": "SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088672",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 CONCOURSE DR.",
            "address_2": "SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088672",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERASUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "DELPH",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-677-0200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001432",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5201007359",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Theodorou-Ehrlich, PSY.D.
• Thera Support
• Therabee
• Therapeutic Pharmacy Partners LLC
• Therapy for Change PLLC
• Theresa Gattari MD, PLLC
• Jane Theriault, RN
• Megan Megan Theuerkauf, DPT
• Amanda Theuerkorn
• Nikhil Rajendran Theyyunni, MD

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.