Individual provider Active NPI

David James Driest

  • Professional Counselor
  • Utica, MI
National Provider Identifier
1508452830
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224166 Issued in MI
Practice address
11111 Hall Rd
Utica, MI 48317-5711
Phone
(586) 997-3153
NPI assigned
Dec 21, 2020
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401224166 MI Primary

Addresses

Primary practice location

11111 Hall Rd
Utica, MI 48317-5711

Mailing address

64 Meadow Wood Dr
Rochester Hills, MI 48307-3084
Phone (586) 943-9289

Other practice location 1

888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Phone (419) 798-6273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth and Associates PC CurrentSince Dec 24, 2024 Accepting new patients

Locations

11111 Hall Rd
Ste 300
Utica, MI 48317
Phone (586) 323-2181

11111 Hall Rd
Ste 303
Utica, MI 48317
Phone (586) 739-0902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1508452830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MEADOW WOOD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073084",
            "telephone_number": "586-943-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175711",
            "telephone_number": "586-997-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 W Big Beaver Rd Ste 780",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844745",
            "country_code": "US",
            "telephone_number": "419-798-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIEST",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

Verify at the official NPI Registry.