Organization Active NPI

Amplpc, PLLC

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1902565815
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AMPLPC, PLLC
Practice address
116 E Washington St
Ste 202
Ann Arbor, MI 48104-1938
Phone
(703) 303-3419
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Ms. Annette Marie Marciel-Pahle, LPC
Title
Owner
Phone
(703) 303-3419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

116 E Washington St
Ste 202
Ann Arbor, MI 48104-1938

Mailing address

116 E Washington St
Ste 202
Ann Arbor, MI 48104-1938
Phone (703) 303-3419

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annettemarciellpc@therapysecure.com Direct

National Provider Directory

National Provider Directory

Locations

116 E Washington St
Ste 202
Ann Arbor, MI 48104
Phone (703) 303-3419

Practitioners & affiliated clinicians

Practitioners 1

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": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1902565815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E WASHINGTON ST",
            "address_2": "STE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041938",
            "telephone_number": "703-303-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E WASHINGTON ST",
            "address_2": "STE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041938",
            "telephone_number": "703-303-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MARCIEL-PAHLE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-303-3419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annettemarciellpc@therapysecure.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 E Washington St",
            "address_2": "Ste 202",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481041938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 8, 2021; 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.