Individual provider Active NPI

Ashley Vaduva

  • Counselor
  • Livonia, MI
National Provider Identifier
1619442159
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401014397 Issued in MI
Practice address
37677 Professional Center Dr Ste 110C
Livonia, MI 48154
Phone
(734) 478-4737
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014397 MI Primary

Addresses

Primary practice location

37677 Professional Center Dr Ste 110C
Livonia, MI 48154

Mailing address

2649 Fernwood Ave
Ann Arbor, MI 48104-5262

Other practice location 1

625 E Liberty St Ste 110
Ann Arbor, MI 48104-2013
Phone (734) 994-8863

Other practice location 2

625 E Liberty St Ste 110
Ann Arbor, MI 48104-2013
Phone (734) 994-8863

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
6401014397MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1619442159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 FERNWOOD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37677 PROFESSIONAL CENTER DR STE 110C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-478-4737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 E Liberty St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042013",
            "country_code": "US",
            "telephone_number": "734-994-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Liberty St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042013",
            "country_code": "US",
            "telephone_number": "734-994-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADUVA",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.