Individual provider Active NPI

Anne Marie Gillespie, MA, MA, LLPC, NCC

  • Counselor
  • Big Rapids, MI
National Provider Identifier
1407945736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401008923 Issued in MI
Practice address
500 S 3Rd Ave
Big Rapids, MI 49307-9501
Phone
(231) 796-5825
Fax
(231) 796-2178
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401008923 MI Primary

Addresses

Primary practice location

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

Mailing address

203 Rust Ave
Big Rapids, MI 49307-1725
Phone (231) 796-8099

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

LicenseStateTypeSpecialty
6401008923MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan Counselor PastSince Mar 22, 2016 Accepting new patients
Community Mental Health for Central Michigan Counselor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407945736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RUST AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071725",
            "telephone_number": "231-796-8099"
        },
        {
            "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": "231-796-5825",
            "fax_number": "231-796-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, MA, LLPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, 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.

Verify at the official NPI Registry.