Mary Gilliam-Andres, M.A., L.L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012360 Issued in MI

Practice address

5675 Fairview St
Stevensville, MI 49127-1033

Phone

(269) 429-7727

Fax

(269) 429-5754

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 2011By 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

Other names 1

• Mary Gilliam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1356626253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 FAIRVIEW ST",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271033",
            "telephone_number": "269-429-7727",
            "fax_number": "269-429-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 FAIRVIEW ST",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271033",
            "telephone_number": "269-429-7727",
            "fax_number": "269-429-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM-ANDRES",
        "first_name": "MARY",
        "credential": "M.A., L.L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GILLIAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista Hansen Elkins, LLPC
• Brian Facione, D.O.
• Mary Frank, PSYCHOLOGIST
• Cheri Lynn Gamble, LPC
• Selia Gambrell
• Regina Glass
• Amante Jordan Gonzalez, LLPC
• Adam Keith Gourley, PHARMD
• Patrick William Graves, OD
• Lucas Gumper, PHARM.D.

• Professional Counselor in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.