Active NPI
Wendy Marcella Hershey, FAODP
- Addiction (Substance Use Disorder) Counselor
- Highland Park, MI
National Provider Identifier
1457511651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 823019
- Practice address
- 211 Glendale St
Highland Park, MI 48203-3231 - Phone
- (313) 868-0721
- Fax
- (313) 868-0306
- NPI assigned
- Jun 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 823019 | MI | Primary |
Addresses
Primary practice location
211 Glendale St
Highland Park, MI 48203-3231
Mailing address
211 Glendale St
Highland Park, MI 48203-3231
Phone (313) 868-0721
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 |
|---|---|---|---|
| 823019 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1457511651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 GLENDALE ST",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033231",
"telephone_number": "313-868-0721",
"fax_number": "313-868-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 GLENDALE ST",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033231",
"telephone_number": "313-868-0721",
"fax_number": "313-868-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHEY",
"first_name": "WENDY",
"middle_name": "MARCELLA",
"name_prefix": "Ms.",
"credential": "FAODP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "823019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.