Individual provider Active NPI

Erica Chavez, LPC

  • Counselor
  • Shelby Township, MI
National Provider Identifier
1073013579
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401018392 Issued in MI
Practice address
48465 Van Dyke Ave Ste a
Shelby Township, MI 48317-3272
Phone
(586) 243-7175
NPI assigned
Feb 20, 2018
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401016488 MI
Counselor 101Y00000X 6401018392 MI Primary

Addresses

Primary practice location

48465 Van Dyke Ave Ste a
Shelby Township, MI 48317-3272

Mailing address

364 Huntington CT
Rochester Hills, MI 48307-3439
Phone (586) 243-7175

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405000924 MI Practitioner - Mental Health Counselor 6305284605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272
Phone (586) 488-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016488MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shining Light Counseling, LLC Counselor CurrentSince Mar 1, 2024 Accepting new patients
Hearing Care Center Inc PastSince Jun 21, 2020 Accepting new patients

Locations

48465 Van Dyke Ave
Ste A
Shelby Township, MI 48317
Phone (586) 488-3175

48465 Van Dyke Ave
Ste B
Shelby Township, MI 48317

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1073013579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 HUNTINGTON CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073439",
            "telephone_number": "586-243-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48465 VAN DYKE AVE STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173272",
            "telephone_number": "586-243-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ERICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016488",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.