Individual provider Active NPI

Andria Bremer Savara, LLPC, LLMFT

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1720602857
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401018321 Issued in MI
Practice address
3351 Claystone St SE Ste G32
Grand Rapids, MI 49546-5794
Phone
(616) 425-2412
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4151000530 MI
Counselor 101Y00000X 6401018321 MI Primary

Addresses

Primary practice location

3351 Claystone St SE Ste G32
Grand Rapids, MI 49546-5794

Mailing address

6174 Meadowlark St NE
Rockford, MI 49341-9221
Phone (616) 308-0257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000769 MI Practitioner - Mental Health Counselor 4385082262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401018321MIMDCounselor
4151000530MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andria Savara Counseling PLLC CurrentSince Feb 24, 2024 Accepting new patients

Locations

4867 E Beltline Ave NE
Bldg 1
Grand Rapids, MI 49525
Phone (606) 340-6417

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1720602857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6174 MEADOWLARK ST NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419221",
            "telephone_number": "616-308-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE STE G32",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465794",
            "telephone_number": "616-425-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVARA",
        "first_name": "ANDRIA",
        "middle_name": "BREMER",
        "credential": "LLPC, LLMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151000530",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.