Active NPI
Ronald Evan Hormel, M.A., L.L.P.C., N.C.
- Professional Counselor
- Troy, MI
National Provider Identifier
1003173113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401012805
- Practice address
- 2075 West Big Beaver Road
Suite 520
Troy, MI 48084 - Phone
- (248) 646-6659
- Fax
- (248) 642-8645
- NPI assigned
- Apr 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401012805 | MI | Primary |
Addresses
Primary practice location
2075 West Big Beaver Road
Suite 520
Troy, MI 48084
Mailing address
2075 West Big Beaver Road
Suite 520
Troy, MI 48084
Phone (248) 646-6659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012805 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Maple Clinic | Current | Accepting new patients | |
| Jeffrey a. London MD PC | Past | Accepting new patients |
Locations
2075 W Big Beaver Rd
Ste 520
Troy, MI 48084
Phone (248) 646-6659
2075 W Big Beaver Rd
Troy, MI 48084
Phone (248) 646-6659
Organizations & group practices 2
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.
-
- Counselor
- Troy, MI
- NPI 1558412551
-
- Medical Specialty Clinic/Center
- Troy, MI
- NPI 1861708257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1003173113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 WEST BIG BEAVER ROAD",
"address_2": "SUITE 520",
"city": "TROY",
"state": "MI",
"postal_code": "48084",
"telephone_number": "248-646-6659",
"fax_number": "248-642-8645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 WEST BIG BEAVER ROAD",
"address_2": "SUITE 520",
"city": "TROY",
"state": "MI",
"postal_code": "48084",
"telephone_number": "248-646-6659",
"fax_number": "248-642-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORMEL",
"first_name": "RONALD",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "M.A., L.L.P.C., N.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401012805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.