Organization Active NPI

Emboldened Psychological Services, PLLC

  • Mental Health Counselor
  • Farmington Hills, MI
National Provider Identifier
1598526659
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBOLDENED PSYCHOLOGICAL SERVICES, PLLC
Practice address
33966 W 8 Mile Rd Ste 101
Farmington Hills, MI 48335-5273
Phone
(248) 788-6408
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Carmen CochranNPI 1619317096
Title
Owner, Ceo
Phone
(810) 210-8462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

33966 W 8 Mile Rd Ste 101
Farmington Hills, MI 48335-5273

Mailing address

PO Box 40706
Redford, MI 48240-0706
Phone (810) 210-8462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903000546 MI Part B Supplier - Clinic/Group Practice 7618416801 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

33966 W 8 Mile Rd
Ste 101
Farmington Hills, MI 48335
Phone (248) 788-6408

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1598526659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40706",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482400706",
            "telephone_number": "810-210-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33966 W 8 MILE RD STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355273",
            "telephone_number": "248-788-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBOLDENED PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "810-210-8462"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.