Angela Marie Baan Eddy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014928 Issued in MI

Practice address

2362 Lassiter Dr
Rochester Hills, MI 48309-1519

Phone

(947) 517-4012

NPI assigned

Jan 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Joel L Young MD PCGroup PAC ID 3971575929, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joel L. Young, M.D., P.C.

  dba Rochester Center for Behavioral Medicine

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester Hills, MI
  • NPI 1396753729
  Medicare reassignment Care Compare group NPD
• Telecare Counseling

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1801470208
  NPD Authorized official
• Paint Creek Counseling, PLLC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1730547589
  NPD (past) Authorized official

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1326406778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 LASSITER DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091519",
            "telephone_number": "248-923-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 LASSITER DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091519",
            "telephone_number": "947-517-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "ANGELA",
        "middle_name": "MARIE BAAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Early Solutions Clinic, LLC
• Eastern District Anesthesiology PLLC
• Matthew Stewart Easthardt, MD
• Richard W Easton, MD
• Eclectic Health PC
• Elizabeth Ekole
• Chanelle El-Ary
• Elevate Eye Care
• Elevate Rheumatology & Wellness PLLC
• Dena Elghoroury, COUNSELOR

• Professional Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.