Organization Active NPI

Tree by the Sea Counseling, LLC

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1891390688
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TREE BY THE SEA COUNSELING, LLC
Practice address
14989 S Dixie Hwy
Monroe, MI 48161-3769
Phone
(734) 265-0334
Fax
(734) 241-0014
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Elisha Lieto, LMSWNPI 1649661869
Title
Owner
Phone
(734) 265-0334

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

14989 S Dixie Hwy
Monroe, MI 48161-3769

Mailing address

5068 N Dixie Hwy
Newport, MI 48166-9691
Phone (734) 265-0334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521002930 MI Part B Supplier - Clinic/Group Practice 5496225203 Receives reassigned benefits from 2 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

621 S Monroe St
Monroe, MI 48161
Phone (734) 265-0334

Practitioners & affiliated clinicians

Practitioners 4

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": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1891390688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 N DIXIE HWY",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481669691",
            "telephone_number": "734-265-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14989 S DIXIE HWY",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613769",
            "telephone_number": "734-265-0334",
            "fax_number": "734-241-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE BY THE SEA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "LIETO",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-265-0334",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.