Active NPI
Barbara M Eagle, MSW
- Marriage & Family Therapist
- Ann Arbor, MI
National Provider Identifier
1619019130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101005763
- Practice address
- 1945 Pauline Blvd
Suite 21C
Ann Arbor, MI 48103-5047 - Phone
- (734) 213-1333
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801034867 | MI | |
| Marriage & Family Therapist | 106H00000X | 4101005763 | MI | Primary |
Addresses
Primary practice location
1945 Pauline Blvd
Suite 21C
Ann Arbor, MI 48103-5047
Mailing address
1311 Granger Ave
Ann Arbor, MI 48104-4480
Phone (734) 662-0581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008906680 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801034867 | MI | MD | Clinical Social Worker |
| 4101005763 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619019130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 GRANGER AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044480",
"telephone_number": "734-662-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 PAULINE BLVD",
"address_2": "SUITE 21C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481035047",
"telephone_number": "734-213-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLE",
"first_name": "BARBARA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801034867",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101005763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8008906680",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.