Brenda Y. Averett, L.P.C.,L.S.W.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401003040 Issued in MI

Practice address

302 North Huron
Ypsilanti, MI 48197

Phone

(734) 834-7447

Fax

(734) 483-6326

NPI assigned

May 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Brenda Y. Averett Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1639303191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972947",
            "telephone_number": "734-834-7447",
            "fax_number": "734-483-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NORTH HURON",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-834-7447",
            "fax_number": "734-483-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERETT",
        "first_name": "BRENDA",
        "middle_name": "Y.",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.,L.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401003040",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000229",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802059684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "AVERETT",
            "middle_name": "Y.",
            "prefix": "MRS.",
            "credential": "L.P.C.,L.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gary T Augustyn, M.D.
• Toni Marie Auker
• Meredith Elaine Austin, DO
• Vanessa Auten
• Samantha A Auvenshine, LLMSW
• Latoya Avery
• Tiffany Avery, LLPC
• Kay Awad
• Awaken & Align PLLC
• Awaken Authentically, PLLC

• Professional Counselor in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.