Active NPI
Eugene M Kroll, TLLP
- Psychologist
- Milford, MI
National Provider Identifier
1922325356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361006228
- Practice address
- 120 S Main St
Suite C
Milford, MI 48381-1975 - Phone
- (248) 390-5791
- NPI assigned
- Apr 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361006228 | MI | Primary |
Addresses
Primary practice location
120 S Main St
Suite C
Milford, MI 48381-1975
Mailing address
120 S Main St Ste C
Milford, MI 48381-1975
Phone (248) 390-5791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014276 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Counseling Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Milford, MI
- NPI 1639459514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1922325356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S MAIN ST STE C",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811975",
"telephone_number": "248-390-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S MAIN ST",
"address_2": "SUITE C",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811975",
"telephone_number": "248-390-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROLL",
"first_name": "EUGENE",
"middle_name": "M",
"credential": "TLLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-25",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361006228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.