Allie Lyn Vansickle

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801103729 Issued in MI

Practice address

2035 Hogback Rd Ste 108
Ann Arbor, MI 48105-9487

Phone

(734) 707-7230

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in MI

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Michigan Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Crossroads CounselingGroup PAC ID 2466829106, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Crossroads Counseling

  • Clinical Social Worker
  • Chelsea, MI
  • NPI 1740903517
  Medicare reassignment Care Compare group Authorized official
• Peaceful Mind Counseling Services LLC

  • Counselor
  • Manchester, MI
  • NPI 1265922074
  Medicare reassignment NPD
• Solstice Strategic Counseling, LLC

  • Mental Health Counselor
  • Hillsdale, MI
  • NPI 1649812470
  NPD Authorized official
• Sasco Dexter LLC

  • Community/Retail Pharmacy
  • Dexter, MI
  • NPI 1588929160
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1053875013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 INTERNATIONAL DR APT 1235A",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971313",
            "telephone_number": "802-343-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059487",
            "telephone_number": "734-707-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSICKLE",
        "first_name": "ALLIE",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801103729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Marie Vanlangen, PH.D.
• Caitlin Joelle Vannatter
• Mary Bernice Vannuck, CRNA
• Sheri Noelani Vanomen, MD
• Lori Ann Vanriper, PHD
• Jason Douglas Vansumeren, CRNA
• Anna Vantsevich
• Marie Vantubbergen, PHD
• Kendra Vanwasshenova
• Elizabeth Florence Vanwieren, MD

• Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.