Organization Active NPI

Everwell Counseling LLC

  • Social Worker
  • Romulus, MI
National Provider Identifier
1730960782
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
EVERWELL COUNSELING LLC
Practice address
11126 Wayne Rd Ste 5
Romulus, MI 48174-1473
Phone
(734) 217-7313
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Melinda Walsh, LMSW
Title
Clinical Social Worker
Phone
(734) 217-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

11126 Wayne Rd Ste 5
Romulus, MI 48174-1473

Mailing address

37805 Woodridge Dr Apt 105
Westland, MI 48185-5775
Phone (734) 217-7313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116002998 MI Part B Supplier - Clinic/Group Practice 4385091008 Practice locations: Romulus, MI

National Provider Directory

National Provider Directory

Locations

11126 Wayne Rd
Ste 5
Romulus, MI 48174
Phone (734) 217-7313

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1730960782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37805 WOODRIDGE DR APT 105",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481855775",
            "telephone_number": "734-217-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 WAYNE RD STE 5",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741473",
            "telephone_number": "734-217-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-217-7313",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.