Kevin Baldwin I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

12501 Hamilton
Highland Park, MI 48203

Phone

(313) 865-1580

Fax

(313) 865-1582

NPI assigned

May 19, 2014

Last updated

May 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Kevin Jonathan Baldwin I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1700297298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HAMILTON AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033243",
            "telephone_number": "313-865-1580",
            "fax_number": "313-865-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HAMILTON",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "48203",
            "telephone_number": "313-865-1580",
            "fax_number": "313-865-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "KEVIN",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "BALDWIN",
            "middle_name": "JONATHAN",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "CADC-M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beverly Elaine Augustus
• Anthony Derek Austin II, NCC, BCCC
• Tameca Lucian Baccus
• Manjunath Bagewadi Ellur
• Mirza M Baig, DPM
• Jalicia Barbee
• Sharice Bausley
• Myles Alexander Beatty-Morgan, MA, TLLP
• Donald Bell
• Kwayvon Bell

• Addiction (Substance Use Disorder) Counselor in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.