Agewell Family Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089424 Issued in MI

Legal business name

AGEWELL FAMILY COUNSELING, LLC

Practice address

167 Old Perch Rd
Rochester Hills, MI 48309-2135

Phone

(810) 874-0857

NPI assigned

Oct 24, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yuliya Gaydayenko, LMSWNPI 1952701849

Title

Founding Member

Phone

(810) 874-0857

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yuliya Gaydayenko, LMSW

  • Clinical Social Worker
  • Rochester Hills, MI
  • NPI 1952701849
  Authorized official Same address or phone

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1699170266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 OLD PERCH RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 OLD PERCH RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092135",
            "telephone_number": "810-874-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "GAYDAYENKO",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "FOUNDING MEMBER",
        "authorized_official_telephone_number": "810-874-0857",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affinity Counseling Group, LLC
• Afr Medical Center PC
• Nancy Afr, MD
• Agape Family Counseling, PLLC
• Anshita Agarwal
• Rebekah Cathleen Agnew, MA, LLPC, NCC
• Seth Aguinaga
• Ah Rochester Hills Subtenant LLC (American House Village at Rochester Hills)
• Austin Tyler Ahlgren, DO
• Bradley D Ahlgren, MD

• Clinical Social Worker in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.