Active NPI
Antoinette C Hetherington, CAC II
- Addiction (Substance Use Disorder) Counselor
- Auburn Hills, MI
National Provider Identifier
1346450806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2-00170
- Practice address
- 2457 Hempstead Rd
Auburn Hills, MI 48326-3411 - Phone
- (247) 334-5223
- Fax
- (248) 334-5223
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2-00170 | MI | Primary |
Addresses
Primary practice location
2457 Hempstead Rd
Auburn Hills, MI 48326-3411
Mailing address
2457 Hempstead Rd
Auburn Hills, MI 48326-3411
Phone (247) 334-5223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200170 | Other | MI | C ACII |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-00170 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346450806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2457 HEMPSTEAD RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263411",
"telephone_number": "247-334-5223",
"fax_number": "248-334-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2457 HEMPSTEAD RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263411",
"telephone_number": "247-334-5223",
"fax_number": "248-334-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETHERINGTON",
"first_name": "ANTOINETTE",
"middle_name": "C",
"credential": "CAC II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "2-00170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C ACII",
"identifier": "200170",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.