Active NPI
Anna Richelle Bristle, MS, LLPC
- Counselor
- Ypsilanti, MI
National Provider Identifier
1144599556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401012788
- Practice address
- 103 Arnet St
Ypsilanti, MI 48198-5706 - Phone
- (734) 961-1990
- Fax
- (734) 961-1996
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401012788 | MI | Primary |
| Case Manager/Care Coordinator | 171M00000X | 6803085177 | MI |
Addresses
Primary practice location
103 Arnet St
Ypsilanti, MI 48198-5706
Mailing address
103 Arnet St
Ypsilanti, MI 48198-5706
Phone (734) 961-1990
Other names 1
- Miss Anna Richelle Olmstead
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012788 | MI | MD | Counselor |
| 6803085177 | MI | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P O W E R People Organized Working Evolving Reaching | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Ypsilanti, MI
- NPI 1124325964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1144599556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ARNET ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985706",
"telephone_number": "734-961-1990",
"fax_number": "734-961-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ARNET ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985706",
"telephone_number": "734-961-1990",
"fax_number": "734-961-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISTLE",
"first_name": "ANNA",
"middle_name": "RICHELLE",
"name_prefix": "Mrs.",
"credential": "MS, LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401012788",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6803085177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "OLMSTEAD",
"middle_name": "RICHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.