NPIMap

Organization Active NPI

Ann Arbor Counseling Associates, LLC

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1881932283
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANN ARBOR COUNSELING ASSOCIATES, LLC
Practice address
2002 Hogback Rd Ste 17
Ann Arbor, MI 48105-9736
Phone
(734) 956-0051
Fax
(888) 976-6019
NPI assigned
Jan 21, 2013
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Melissa Gratzinger, MA, LPCNPI 1053614883
Title
Counselor
Phone
(734) 956-0051

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

2002 Hogback Rd Ste 17
Ann Arbor, MI 48105-9736

Mailing address

4007 Carpenter Rd # 214
Ypsilanti, MI 48197-9644
Phone (734) 956-0051

Other names 1

  • Creative Mind Counseling Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601001429 MI Part B Supplier - Clinic/Group Practice 8325315955 Receives reassigned benefits from 15 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

2002 Hogback Rd
Ste 17
Ann Arbor, MI 48105
Phone (734) 956-0051

6276 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (734) 956-0051

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1881932283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CARPENTER RD # 214",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979644",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD STE 17",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GRATZINGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "734-956-0051",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Mind Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Creative Mind Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.