Individual provider Active NPI

Anthony D. Flevaris Jr., MR.

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1578875902
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011789 Issued in MI
Practice address
31583 Alameda St
Farmington Hills, MI 48336-1121
Phone
(248) 736-5966
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1105910 MI
Professional Counselor 101YP2500X 6401011789 MI Primary

Addresses

Primary practice location

31583 Alameda St
Farmington Hills, MI 48336-1121

Mailing address

5290 Williamston CT
Commerce TWP, MI 48382-5146
Phone (248) 736-5966

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
1105910MIMDMental Health Counselor
6401011789MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A.D.F. Counseling Past Accepting new patients
A.D. F. Counseling Associates Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1578875902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMSTON CT",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483825146",
            "telephone_number": "248-736-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31583 ALAMEDA ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361121",
            "telephone_number": "248-736-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEVARIS",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MR.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "1105910",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011789",
            "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 12, 2013; 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.