Active NPI
Andrea Perteet
- Counselor
- Waterford, MI
National Provider Identifier
1558730887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 785177
- Practice address
- 279 Summit Dr
Waterford, MI 48328-3364 - Phone
- (248) 409-4207
- Fax
- (248) 745-6872
- NPI assigned
- Sep 16, 2015
- Last updated
- Sep 16, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 785177 | MI | Primary |
Addresses
Primary practice location
279 Summit Dr
Waterford, MI 48328-3364
Mailing address
279 Summit Dr
Waterford, MI 48328-3364
Phone (248) 409-4207
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 |
|---|---|---|---|
| 785177 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1558730887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-409-4207",
"fax_number": "248-745-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-409-4207",
"fax_number": "248-745-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERTEET",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "785177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.