Individual provider Active NPI

Cullen Hardy, PSYD

  • Addiction (Substance Use Disorder) Counselor
  • Niles, MI
National Provider Identifier
1659620169
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2527 S 11TH St Ste 2
Niles, MI 49120-4747
Phone
(269) 262-1815
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2527 S 11TH St Ste 2
Niles, MI 49120-4747

Mailing address

2527 S 11TH St Ste 2
Niles, MI 49120-4747
Phone (269) 262-1815

Other practice location 1

440 Amherst St
Nashua, NH 03063-1228
Phone (603) 889-6147

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Mental Health LLC Current Accepting new patients
Northern Ohio Health and Wellness LLC Current Accepting new patients
Nora Noco LLC Current Accepting new patients
Midwest Wellness LLC Current Accepting new patients
Community Council of Nashua NH, Inc. PastSince May 20, 2008 Accepting new patients
Midwest Recovery and Wellness LLC PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 6

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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659620169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 S 11TH ST STE 2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204747",
            "telephone_number": "269-262-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 S 11TH ST STE 2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204747",
            "telephone_number": "269-262-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631228",
            "country_code": "US",
            "telephone_number": "603-889-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "CULLEN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2025-09-11",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, 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.

Verify at the official NPI Registry.