Individual provider Active NPI

Maia Warren

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1013694835
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401008113 Issued in MI
Practice address
3840 Packard St Ste 270
Ann Arbor, MI 48108-5008
Phone
(734) 995-6755
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401008113 MI Primary

Addresses

Primary practice location

3840 Packard St Ste 270
Ann Arbor, MI 48108-5008

Mailing address

3840 Packard St Ste 270
Ann Arbor, MI 48108-5008
Phone (734) 995-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Detroit, MI 48277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008113MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
White Behavioral Consultants, PC CurrentSince Jul 9, 2023 Accepting new patients

Locations

3840 Packard St
Ste 270
Ann Arbor, MI 48108
Phone (734) 995-6755

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1013694835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PACKARD ST STE 270",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085008",
            "telephone_number": "734-995-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PACKARD ST STE 270",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085008",
            "telephone_number": "734-995-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MAIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.