Kristen Nicolle Eiben, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106372 Issued in MI

Practice address

1506 16TH St
Wyandotte, MI 48192-3344

Phone

(248) 504-7094

Fax

(313) 380-3435

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clear Mind Therapy PLLC.

  • Mental Health Counselor
  • Wyandotte, MI
  • NPI 1194653543
  NPD Authorized official

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1801308523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 16TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923344",
            "telephone_number": "248-504-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 16TH ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923344",
            "telephone_number": "248-504-7094",
            "fax_number": "313-380-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBEN",
        "first_name": "KRISTEN",
        "middle_name": "NICOLLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801106372",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E&S Associates
• Julianna Marie Ebert, ARDMS
• Cory James Edlin
• Nicholas Samuel Edmunds, SLP-CCC
• Susan A Edwards, PHD
• Sonya Marie Elgammal, D.O.
• Younes Elhaj
• Hussam Mohamed Aly Elkambergy, M.D
• Kris J Ellington, PT
• Mohamed S Elnaggar, M.D.

• Clinical Social Worker in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.