Individual provider Active NPI

Marta Malgorzata Kotlinska, LPC

  • Professional Counselor
  • Novi, MI
National Provider Identifier
1861638355
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018595 Issued in MI
Practice address
41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818
Phone
(877) 693-5543
Fax
(248) 221-1775
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401018595 MI
Professional Counselor 101YP2500X 6401018595 MI Primary

Addresses

Primary practice location

41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818

Mailing address

41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818
Phone (877) 693-5543

Other practice location 1

2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Phone (248) 475-6300

Other identifiers 1

IdentifierTypeStateIssuer
1883825MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MKotlinska@elliementalhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000860 MI Practitioner - Mental Health Counselor 7810333176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie Mental Health Live Authentic PLLCGroup PAC ID 0648644658, 5 clinicians

Practice addresses (Care Compare)

41800 W 11 Mile Rd
Suite 110
Novi, MI 48375-1818
Phone (947) 219-1283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Mental Health Live Authentic PLLC CurrentSince Jul 25, 2025 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 110
Novi, MI 48375
Phone (877) 693-5543

Interoperability endpoints

  • Direct secure messaging: mkotlinska@elliementalhealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1861638355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2399 E Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483261955",
            "country_code": "US",
            "telephone_number": "248-475-6300",
            "fax_number": "248-475-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTLINSKA",
        "first_name": "MARTA",
        "middle_name": "MALGORZATA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018595",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883825",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MKotlinska@elliementalhealth.com",
            "affiliation": "N",
            "address_1": "41800 W 11 Mile Rd Ste 110",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483751818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.