Individual provider Active NPI

Vinata Mahadevan Iyer

  • Counselor
  • Troy, MI
National Provider Identifier
1447714597
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401223979 Issued in MI
Practice address
215 E Big Beaver Rd Ste 100
Troy, MI 48083-1216
Phone
(313) 451-3315
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401223979 MI Primary

Addresses

Primary practice location

215 E Big Beaver Rd Ste 100
Troy, MI 48083-1216

Mailing address

5345 Clearview Dr
Troy, MI 48098-2427
Phone (862) 221-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822000641 MI Practitioner - Mental Health Counselor 9234678251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401223979MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maples Creative Counseling LLC Counselor CurrentSince Mar 31, 2024 Accepting new patients

Locations

215 E Big Beaver Rd
Ste 100
Troy, MI 48083
Phone (313) 451-3315

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1447714597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 CLEARVIEW DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982427",
            "telephone_number": "862-221-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BIG BEAVER RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831216",
            "telephone_number": "313-451-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "VINATA",
        "middle_name": "MAHADEVAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.