Individual provider Active NPI

Dennis Yager, SWT, CAC1

  • Counselor
  • Berkley, MI
National Provider Identifier
1457476665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801064873 Issued in MI
Practice address
2710 12 Mile Rd
Berkley, MI 48072-1630
Phone
(248) 543-1090
Fax
(248) 543-0017
NPI assigned
Mar 20, 2007
Sex
Male
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 6801064873 MI Primary

Addresses

Primary practice location

2710 12 Mile Rd
Berkley, MI 48072-1630

Mailing address

9531 Charest St
Hamtramck, MI 48212-3562
Phone (248) 543-1090

Other names 1

  • Guidance and Prevent Services Professional name

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

LicenseStateTypeSpecialty
6801064873MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Consultants Incorporated Past Accepting new patients

Organizations & group practices 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457476665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 CHAREST ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123562",
            "telephone_number": "248-543-1090",
            "fax_number": "248-543-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721630",
            "telephone_number": "248-543-1090",
            "fax_number": "248-543-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "SWT, CAC1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801064873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUIDANCE AND PREVENT",
            "last_name": "SERVICES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berkley, 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.