Active NPI
Heather Prevo, LLPC
- Counselor
- Traverse City, MI
National Provider Identifier
1356720379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013411
- Practice address
- 3238 Greenwood Dr
Traverse City, MI 49686-3814 - Phone
- (231) 620-3844
- NPI assigned
- May 22, 2015
- Last updated
- May 22, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013411 | MI | Primary |
| School Counselor | 101YS0200X | SC0000000800285 | MI |
Addresses
Primary practice location
3238 Greenwood Dr
Traverse City, MI 49686-3814
Mailing address
3238 Greenwood Dr
Traverse City, MI 49686-3814
Phone (231) 620-3844
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 |
|---|---|---|---|
| 6401013411 | MI | MD | Counselor |
| SC0000000800285 | MI | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1356720379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3238 GREENWOOD DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863814",
"telephone_number": "231-620-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3238 GREENWOOD DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863814",
"telephone_number": "231-620-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVO",
"first_name": "HEATHER",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013411",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MI",
"license": "SC0000000800285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.