Anthony Jerome Allen, AAS., CAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

820202 Issued in MI

Practice address

12010 Linwood St
Detroit, MI 48206-1108

Phone

(313) 867-1090

Fax

(313) 867-0706

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003023680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 BANGOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101760",
            "telephone_number": "313-867-1090",
            "fax_number": "313-867-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 LINWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061108",
            "telephone_number": "313-867-1090",
            "fax_number": "313-867-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "credential": "AAS.,  CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "820202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Allen-Pettway, LMSW
• Anajshare Marshe Allen
• Angela Michele Allen
• Annette Allen, FAODP,CADCM
• Annie Allen
• Audrey Allen
• Brandon Clinton Allen
• Colleen Mary Allen, PH.D.
• Darlene Joyce Allen, CNM
• Deborah Allen

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.