Active NPI
Gerald Stanley Kwas, MA LPC LMSW
- Professional Counselor
- Livonia, MI
National Provider Identifier
1306868864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401004253
- Practice address
- 15370 Levan Rd.
#2
Livonia, MI 48154 - Phone
- (734) 744-0170
- Fax
- (734) 744-0171
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401004253 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801003716 | MI |
Addresses
Primary practice location
15370 Levan Rd.
#2
Livonia, MI 48154
Mailing address
8962 Pere Ave
Livonia, MI 48150-3339
Phone (734) 744-0170
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401004253 | MI | MD | Professional Counselor |
| 6801003716 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1306868864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8962 PERE AVE",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503339",
"telephone_number": "734-744-0170",
"fax_number": "734-744-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15370 LEVAN RD.",
"address_2": "#2",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-744-0170",
"fax_number": "734-744-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAS",
"first_name": "GERALD",
"middle_name": "STANLEY",
"name_prefix": "Mr.",
"credential": "MA LPC LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401004253",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801003716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.