Organization Active NPI

Counseling by Coryanna, PLLC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1841883832
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COUNSELING BY CORYANNA, PLLC
Practice address
343 S Main St Ste 203
Ann Arbor, MI 48104-2116
Phone
(734) 787-8966
Fax
(734) 794-3797
NPI assigned
Feb 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Coryanna L. Ku, LPC, NCCNPI 1811183601
Title
Psychotherapist/Owner, Ceo
Phone
(734) 787-8966

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

343 S Main St Ste 203
Ann Arbor, MI 48104-2116

Mailing address

4049 Berkeley Ave
Canton, MI 48188-7229
Phone (734) 787-8966

Other identifiers 1

IdentifierTypeStateIssuer
1841883832MedicaidMI

National Provider Directory

National Provider Directory

Locations

2750 Carpenter Rd
Ste 6
Ann Arbor, MI 48108
Phone (734) 215-5618

343 S Main St
Ste 203
Ann Arbor, MI 48104
Phone (734) 787-8966

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": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1841883832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 BERKELEY AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887229",
            "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": {
        "organization_name": "COUNSELING BY CORYANNA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "CORYANNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER, CEO",
        "authorized_official_telephone_number": "734-787-8966",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Jun 22, 2022; 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.