Individual provider Active NPI

Thomas Andrew Gerrits, M.A.,L.P.C

  • Genetic Counselor (M.S.)
  • Marine City, MI
National Provider Identifier
1588772412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
6401001633 Issued in MI
Practice address
515 S Parker St
Marine City, MI 48039-3572
Phone
(810) 765-5010
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 6401001633 MI Primary

Addresses

Primary practice location

515 S Parker St
Marine City, MI 48039-3572

Mailing address

1546 S Bartlett Rd
Saint Clair, MI 48079-3200
Phone (810) 329-7141

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401001633MIMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588772412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 S BARTLETT RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793200",
            "telephone_number": "810-329-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393572",
            "telephone_number": "810-765-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRITS",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.A.,L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MI",
            "license": "6401001633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.