Organization Active NPI

Eucalyptus Counseling Services PLC

  • Mental Health Counselor
  • Northville, MI
National Provider Identifier
1740919406
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EUCALYPTUS COUNSELING SERVICES PLC
Practice address
18600 Northville Rd Ste 500
Northville, MI 48168-3559
Phone
(248) 504-7406
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Amber Cunnings, LMFTNPI 1336338573
Title
Owner
Phone
(248) 504-7406

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

18600 Northville Rd Ste 500
Northville, MI 48168-3559

Mailing address

18600 Northville Rd Ste 500
Northville, MI 48168-3559
Phone (248) 504-7406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104002088 MI Part B Supplier - Clinic/Group Practice 6103277082 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI

National Provider Directory

National Provider Directory

Locations

18600 Northville Rd
Ste 500
Northville, MI 48168
Phone (248) 504-7406

Practitioners & affiliated clinicians

Practitioners 1

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": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1740919406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 500",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683559",
            "telephone_number": "248-504-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 500",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683559",
            "telephone_number": "248-504-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCALYPTUS COUNSELING SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "CUNNINGS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-504-7406",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.