Individual provider Active NPI

Holly Renee Trevor, CPRC

  • Peer Specialist
  • Clinton Township, MI
National Provider Identifier
1790602704
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
T616313734861 Issued in MI
Practice address
42590 Stepnitz Dr
Clinton Township, MI 48036-3161
Phone
(586) 954-1838
Fax
(586) 649-2620
NPI assigned
Jul 1, 2026
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X T616313734861 MI Primary

Addresses

Primary practice location

42590 Stepnitz Dr
Clinton Township, MI 48036-3161

Mailing address

42590 Stepnitz Dr
Clinton Township, MI 48036-3161
Phone (586) 954-1838

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

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1790602704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42590 STEPNITZ DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363161",
            "telephone_number": "586-954-1838",
            "fax_number": "586-649-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42590 STEPNITZ DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363161",
            "telephone_number": "586-954-1838",
            "fax_number": "586-649-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVOR",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "credential": "CPRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": "T616313734861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.