Active NPI
Coryanna L Ku, LPC, NCC
- Professional Counselor
- Ann Arbor, MI
National Provider Identifier
1811183601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010375
- Practice address
- 343 S Main St Ste 203
Ann Arbor, MI 48104-2116 - Phone
- (734) 787-8966
- Fax
- (734) 794-3797
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 54002 | CA | |
| Marriage & Family Therapist | 106H00000X | 54002 | CA | |
| Professional Counselor | 101YP2500X | 6401010375 | MI | Primary |
Addresses
Primary practice location
343 S Main St Ste 203
Ann Arbor, MI 48104-2116
Mailing address
343 S Main St Ste 203
Ann Arbor, MI 48104-2116
Phone (734) 787-8966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841883832 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010375 | MI | MD | Professional Counselor |
| 54002 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling by Coryanna, PLLC | Professional | Current | Accepting new patients |
Locations
343 S Main St
Ste 203
Ann Arbor, MI 48104
Phone (734) 787-8966
455 E Eisenhower Pkwy
Ste 300
Ann Arbor, MI 48108
Phone (517) 580-5727
2750 Carpenter Rd
Ste 6
Ann Arbor, MI 48108
Phone (734) 215-5618
Organizations & group practices 1
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.
-
- Professional Counselor
- Ann Arbor, MI
- NPI 1841883832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1811183601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 S MAIN ST STE 203",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042116",
"telephone_number": "734-787-8966",
"fax_number": "734-794-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 S MAIN ST STE 203",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042116",
"telephone_number": "734-787-8966",
"fax_number": "734-794-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KU",
"first_name": "CORYANNA",
"middle_name": "L",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "54002",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "54002",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841883832",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.