Active NPI
Andrea Allen
- Peer Specialist
- Carleton, MI
National Provider Identifier
1457041378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 130 Medical Center Dr
Carleton, MI 48117-9461 - Phone
- (734) 654-2169
- NPI assigned
- May 12, 2023
- Last updated
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MI | ||
| Peer Specialist | 175T00000X | MI | Primary |
Addresses
Primary practice location
130 Medical Center Dr
Carleton, MI 48117-9461
Mailing address
Andrea Allen Cadc, CPRC, CPSS
130 Medical Center Dr.
Carleton, MI 48117
Phone (734) 654-2169
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1457041378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ANDREA ALLEN CADC, CPRC, CPSS",
"address_2": "130 MEDICAL CENTER DR.",
"city": "CARLETON",
"state": "MI",
"postal_code": "48117",
"telephone_number": "734-654-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MEDICAL CENTER DR",
"city": "CARLETON",
"state": "MI",
"postal_code": "481179461",
"telephone_number": "734-654-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carleton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.