Nicole Ehart, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361000909 Issued in MI

Practice address

409 Plymouth Rd Ste 126
Plymouth, MI 48170-4080

Phone

(248) 837-0303

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Renewal Wellness PLLC

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1063974848
  NPD Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1801823257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 126",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704080",
            "telephone_number": "248-837-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 126",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704080",
            "telephone_number": "248-837-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHART",
        "first_name": "NICOLE",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361000909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH#",
            "identifier": "11639668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eden Counseling, LLC
• Tina Edington
• Raymond Edwards
• Reagan Eggert, MA, TLLP
• Arica Eggleston
• Caleb Eich
• Karlie Eis
• Mona El Saghir
• Baraa Elahmad
• Mariam Elaroud

• Clinical Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Psychologist in Michigan

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