EYE-DENT-ITY PROJECT PLLC
NPI 1609720317
Counselor - Professional in Detroit, MI

Active since February 21, 2026
19659 RIVERVIEW ST, DETROIT, MI 48219(248) 579-3609 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eye-dent-ity Project Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE-DENT-ITY PROJECT PLLC (NPI 1609720317) is a healthcare organization registered as a professional in Detroit, Michigan and active in the NPI registry since February 2026. The organization lists Eugene Mcdonald, Clinical Director/lpc, as its authorized official.

NPPES Registry Identity

NPI1609720317
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameEYE-DENT-ITY PROJECT PLLC
Location Address19659 RIVERVIEW STDetroit, MI 48219-1622
Mailing Address19659 Riverview StDetroit, MI 48219-1622 · (248) 579-3609
Organization SubpartNo
Authorized OfficialEugene McdonaldClinical Director/lpc · (248) 579-3609
Enumeration DateFebruary 21, 2026
NPPES CertifiedFebruary 21, 2026
✔ NPI 1609720317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
19659 RIVERVIEW ST, Detroit, MI 48219

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye-dent-ity Project Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye-Dent-Ity Project PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1770119091
6549 TOWN CENTER DR STE A
Clarkston, MI 48346
(313) 879-9960
✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye-Dent-Ity Project PLLC's NPI number?

The NPI number for Eye-Dent-Ity Project PLLC is 1609720317. It was assigned to this organization in the NPPES registry on February 21, 2026.

Where is Eye-Dent-Ity Project PLLC located?

Eye-Dent-Ity Project PLLC is located at 19659 Riverview St, Detroit, MI 48219. The listed phone number is (248) 579-3609.

What is Eye-Dent-Ity Project PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eye-Dent-Ity Project PLLC enrolled in Medicare?

Yes. Eye-Dent-Ity Project PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye-Dent-Ity Project PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Eye-Dent-Ity Project PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye-Dent-Ity Project PLLC was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.