Andrew Edmond Greenlee I, MA., MED., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401004038 Issued in MI

Practice address

150 Stimson St
Detroit, MI 48201-2410

Phone

(313) 993-4700

Fax

(313) 831-2299

NPI assigned

Oct 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Andrew Greenlee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Education

State licenses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1154500791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GLENDALE ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033274",
            "telephone_number": "313-263-0077",
            "fax_number": "313-883-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STIMSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012410",
            "telephone_number": "313-993-4700",
            "fax_number": "313-831-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "ANDREW",
        "middle_name": "EDMOND",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MA., MED., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401004038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "1740313238",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36022440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "GREENLEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tyyler Jordann Greene
• Aubrie Greenfelder, PA-C
• Greenfield Family Practice Center PLLC
• Greenfield RX LLC (Knight Drugs - Greenfield)
• Lysa Greenidge, REGISTERED NURSE
• Delores Louise Greenlee, MSN/ED, RN
• Antoine Danielle Greenm
• Anna Greenwood, MD
• Anne Greenwood, B.A. (HONS.)
• Chantinique Greenwood

• Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.