Individual provider Active NPI

Andrew Curtis Fralick, LPC

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1558867267
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017345 Issued in MI
Practice address
29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone
(248) 474-4701
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 6401017345 MI Primary

Addresses

Primary practice location

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309

Mailing address

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone (248) 474-4701

Other practice location 1

17250 Farmington Rd
Livonia, MI 48152-3151
Phone (734) 425-4070

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
6401017345MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1558867267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "248-474-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "248-474-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17250 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523151",
            "country_code": "US",
            "telephone_number": "734-425-4070",
            "fax_number": "737-425-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRALICK",
        "first_name": "ANDREW",
        "middle_name": "CURTIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.