Organization Active NPI

A Place of Mind LLC

  • Mental Health Counselor
  • South Lyon, MI
National Provider Identifier
1861357212
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
A PLACE OF MIND LLC
Practice address
66077 W 8 Mile Rd
South Lyon, MI 48178-7074
Phone
(989) 906-1006
NPI assigned
Dec 18, 2025
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Adrianna M Pena-Van Den Bossche, M.S., LLPCNPI 1093208142
Title
Co-Owner
Phone
(248) 264-2522

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

66077 W 8 Mile Rd
South Lyon, MI 48178-7074

Mailing address

66077 W 8 Mile Rd
South Lyon, MI 48178-7074
Phone (989) 906-1006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1861357212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66077 W 8 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481787074",
            "telephone_number": "989-906-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66077 W 8 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481787074",
            "telephone_number": "989-906-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE OF MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "PENA-VAN DEN BOSSCHE",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "248-264-2522",
        "authorized_official_credential": "M.S., LLPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.