Individual provider Active NPI

Chris Allen Shreve, PHD, LPC, NCC

  • Mental Health Counselor
  • Bingham Farms, MI
National Provider Identifier
1073812145
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401007298 Issued in MI
Practice address
30100 Telegraph Rd Ste 470
Bingham Farms, MI 48025-4564
Phone
(313) 587-7388
Fax
(734) 629-1778
NPI assigned
Mar 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 6401007298 MI Primary

Addresses

Primary practice location

30100 Telegraph Rd Ste 470
Bingham Farms, MI 48025-4564

Mailing address

30100 Telegraph Rd Ste 470
Bingham Farms, MI 48025-4564
Phone (313) 587-7388

Other names 1

  • Dr. Chris A Shreve Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401007298MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Chris Allen Shreve PHD PLLC Mental Health Current Accepting new patients
Oakland Psychiatric Associates PC PastSince Jan 1, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1073812145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 470",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254564",
            "telephone_number": "313-587-7388",
            "fax_number": "734-629-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 470",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254564",
            "telephone_number": "313-587-7388",
            "fax_number": "734-629-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "CHRIS",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "SHREVE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.