Active NPI
Iris Denisse Torres
- Counselor
- Wyoming, MI
National Provider Identifier
1740879295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401019008
- Practice address
- 545 28TH St SW
Wyoming, MI 49509-2937 - Phone
- (616) 217-3778
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401019008 | MI | Primary |
Addresses
Primary practice location
545 28TH St SW
Wyoming, MI 49509-2937
Mailing address
545 28TH St SW
Wyoming, MI 49509-2937
Phone (616) 217-3778
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401019008 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clareza Counseling LLC | Multi-Specialty | Current | Accepting new patients |
Locations
545 28th St SW
Wyoming, MI 49509
Phone (616) 217-3778
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": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1740879295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 28TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495092937",
"telephone_number": "616-217-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 28TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495092937",
"telephone_number": "616-217-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "IRIS",
"middle_name": "DENISSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "MI",
"license": "6401019008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.