Angela Zywicki, L.P.C., N.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007612 Issued in MI

Practice address

500 S 3Rd Ave
Big Rapids, MI 49307-9501

Phone

(231) 796-3553

Fax

(231) 796-2409

NPI assigned

Jan 6, 2014

Last updated

Jan 6, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1609412840
  NPD (past)
• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892
  NPD (past)

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1184045411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 SHANER AVE NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199558",
            "telephone_number": "616-696-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 3RD AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079501",
            "telephone_number": "231-796-3553",
            "fax_number": "231-796-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYWICKI",
        "first_name": "ANGELA",
        "credential": "L.P.C., N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Albert Young, PHARMD
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• Roman Zolotoy
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• Professional Counselor in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.