Active NPI
Counseling by Coryanna, PLLC
- Professional Counselor
- Ann Arbor, MI
National Provider Identifier
1841883832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Coryanna L. Ku, LPC, NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841883832 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Ann Arbor, MI
- NPI 1811183601
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.