Individual provider Active NPI

Anne M Clevering, MA, LPC

  • Professional Counselor
  • Saginaw, MI
National Provider Identifier
1700909918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401002012 Issued in MI
Practice address
5090 State St Ste B103
Saginaw, MI 48603-3778
Phone
(989) 799-1934
Fax
(989) 497-8158
NPI assigned
Apr 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Professional Counselor 101YP2500X 6401002012 MI Primary

Addresses

Primary practice location

5090 State St Ste B103
Saginaw, MI 48603-3778

Mailing address

5090 State St Ste B103
Saginaw, MI 48603-3778
Phone (989) 799-1934

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401002012MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700909918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 STATE ST STE B103",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033778",
            "telephone_number": "989-799-1934",
            "fax_number": "989-497-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 STATE ST STE B103",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033778",
            "telephone_number": "989-799-1934",
            "fax_number": "989-497-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVERING",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, 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.