Individual provider Active NPI

Eric Agyemang-Dua Jr., M.S.ED, DLLP

  • Counseling Psychologist
  • Detroit, MI
National Provider Identifier
1831097203
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6352001288 Issued in MI
Practice address
16500 Tireman St
Detroit, MI 48228-3629
Phone
(313) 523-4540
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6352001288 MI Primary

Addresses

Primary practice location

16500 Tireman St
Detroit, MI 48228-3629

Mailing address

200 Riverfront Dr Apt 28a
Detroit, MI 48226-4525
Phone (571) 447-2336

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

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1831097203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERFRONT DR APT 28A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264525",
            "telephone_number": "571-447-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 TIREMAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283629",
            "telephone_number": "313-523-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMANG-DUA",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S.ED, DLLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6352001288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.