Individual provider Active NPI

Autumn Renee Casiglia, LLP

  • Counseling Psychologist
  • Sterling Heights, MI
National Provider Identifier
1710767660
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
011125 Issued in MI
Practice address
3218 Alderdale Dr
Sterling Heights, MI 48310-6930
Phone
(586) 909-7435
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 011125 MI Primary

Addresses

Primary practice location

3218 Alderdale Dr
Sterling Heights, MI 48310-6930

Mailing address

3218 Alderdale Dr
Sterling Heights, MI 48310-6930
Phone (586) 909-7435

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
011125MIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1710767660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 ALDERDALE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106930",
            "telephone_number": "586-909-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 ALDERDALE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106930",
            "telephone_number": "586-909-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIGLIA",
        "first_name": "AUTUMN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "011125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.