Paint Creek Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014928 Issued in MI

Legal business name

PAINT CREEK COUNSELING, PLLC

Practice address

2362 Lassiter Dr
Rochester Hills, MI 48309-1519

Phone

(947) 517-4012

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Marie Baan Eddy, M.A., L.L.P.C.NPI 1326406778

Title

Counselor/Owner

Phone

(947) 517-4012

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Marie Baan Eddy

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1326406778
  NPD (past) Authorized official

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1730547589",
    "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": "947-517-4012"
        },
        {
            "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": {
        "organization_name": "PAINT CREEK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE BAAN",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "947-517-4012",
        "authorized_official_credential": "M.A., L.L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shubham Saswat Pahi, MD
• Divakar Pai, M.D.
• Paige Vannorman Psychological Services PLLC
• Pain Clinic of Michigan Associates PC
• Pain Clinic of Rochester
• Paint Creek Obstetrics & Gynecology PC
• Paint Creek Pediatrics and Adolescent Care PC
• Marie E Palazzolo-Meyer, D.C.
• Jill Palazzolo, R.P.H.
• Nadine Palazzolo, CCC-SLP

• 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 Feb 8, 2016; 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.