Gregory L Clevenger

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1100 W Saginaw St
Lansing, MI 48915-2033

Phone

(517) 887-5922

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Care Free Medical, Inc

  dba Care Free Medical

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1518983907

  Counselor

  Medicare reassignment NPD
• Care Free Medical, Inc

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
  • NPI 1700607405

  Counselor

  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1457936874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 SHELL BARK LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391382",
            "telephone_number": "810-603-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152033",
            "telephone_number": "517-887-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "GREGORY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EpicEMR",
            "affiliation": "Y",
            "endpointDescription": "This is the medical clinic's EMR that I will also use",
            "affiliationName": "SPARROW HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct charting",
            "address_1": "1200 E Michigan Ave",
            "address_2": "SPARROW HEART CENTER",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489121800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edquan Clay
• Tasia Anesha Clay
• Clear Path Counseling Solutions
• Clearsound Solutions LLC (ClearSound Solutions)
• Jalah Cleveland
• Brittany Clifford, PRC
• Meranda Clifford
• Mary B. Rose Clifton, MD
• Christine Clissold
• Natalia Clough

• Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.