CMS-1500 Box 24J / 33a • NPI
1639691116
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103TC0700X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical
Box 32 Service Location & ZIP+4
366 CRYSTAL SPRING AVE, ADRIAN, MI, 49221-3207
✓ 9-Digit EDI 837 ZIP+4 (49221-3207)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1639691116 (ALLIANCE THERAPY GROUP PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1639691116 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALLIANCE THERAPY GROUP PLLC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: 103TC0700X (Psychologist, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 366 CRYSTAL SPRING AVE, ADRIAN, MI, 49221-3207 |
| Practice Telephone / Fax | Tel: (517) 662-5084 |
| Administrative Mailing Address | 366 CRYSTAL SPRING AVE, ADRIAN, MI, 49221-3207 |
| Enumeration & Last Sync | Enumerated: 2017-07-17 | CMS Record Updated: 2025-03-04 |
| Authorized Official | STEPHANIE YOUNGLOVE (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in ADRIAN
🔒 Are you ALLIANCE THERAPY GROUP PLLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (103TC0700X)
What Does Taxonomy Code 103TC0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALLIANCE THERAPY GROUP PLLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: MI | License: 6401011293 | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: MI | License: 6301013012 | Primary: Yes (Primary) |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.