Active NPI
Jillian T Eichhorn, LMT, CBD
- Massage Therapist
- Madison Heights, MI
National Provider Identifier
1962343681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501017190
- Practice address
- 905 W 11 Mile Rd
Madison Heights, MI 48071-3103 - Phone
- (734) 224-5471
- NPI assigned
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501017190 | MI | Primary |
| Doula | 374J00000X | MI |
Addresses
Primary practice location
905 W 11 Mile Rd
Madison Heights, MI 48071-3103
Mailing address
1003 Cherokee Ave
Royal Oak, MI 48067-3384
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 |
|---|---|---|---|
| 7501017190 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lactation Lighthouse, LLC | Massage Therapist | 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.
-
- Lactation Consultant (Non-RN)
- Madison Heights, MI
- NPI 1023838265
Massage Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1962343681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 CHEROKEE AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W 11 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713103",
"telephone_number": "734-224-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHHORN",
"first_name": "JILLIAN",
"middle_name": "T",
"credential": "LMT, CBD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-06",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501017190",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.