Individual provider Active NPI

Carol Ann McConnell, MA, LLPC

  • Mental Health Counselor
  • Plymouth, MI
National Provider Identifier
1396351888
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401018660 Issued in MI
Practice address
9401 N Haggerty Rd
Plymouth, MI 48170-4696
Phone
(734) 927-1201
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401018660 MI Primary

Addresses

Primary practice location

9401 N Haggerty Rd
Plymouth, MI 48170-4696

Mailing address

39011 Pinetree St
Livonia, MI 48150-2479
Phone (734) 377-0579

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231219002019 MI Practitioner - Mental Health Counselor 1254781107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401018660MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solid Ground Counseling, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

9401 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 301-7668

9397 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 927-1201

41100 Plymouth Rd
Ste 110
Plymouth, MI 48170
Phone (734) 335-1336

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1396351888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39011 PINETREE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502479",
            "telephone_number": "734-377-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704696",
            "telephone_number": "734-927-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "CAROL ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.