Individual provider Active NPI

Audra A Averbach, LLMSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1811608979
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1601 Briarwood Cir Ste 400
Ann Arbor, MI 48108-1650
Phone
(734) 822-4971
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MI Primary

Addresses

Primary practice location

1601 Briarwood Cir Ste 400
Ann Arbor, MI 48108-1650

Mailing address

41234 Crossbow Cir Apt 104
Canton, MI 48188-3142
Phone (734) 619-9897

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address AAverbach@elliementalhealth.com Health Information Exchange (HIE)
CONNECT URL Aaverbach@elliementalhealth.com
CONNECT URL elliecats@elliementalhealth.com
CONNECT URL elliementalhealth.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emh A2 CD, LLC CurrentSince Dec 13, 2022 Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Jan 25, 2026 Accepting new patients

Locations

1601 Briarwood Cir
Ste 400
Ann Arbor, MI 48108
Phone (734) 822-4971

Interoperability endpoints

  • Direct secure messaging: aaverbach@elliementalhealth.com

Organizations & group practices 2

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1811608979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41234 CROSSBOW CIR APT 104",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883142",
            "telephone_number": "734-619-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRIARWOOD CIR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081650",
            "telephone_number": "734-822-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERBACH",
        "first_name": "AUDRA",
        "middle_name": "A",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AAverbach@elliementalhealth.com",
            "affiliation": "N",
            "endpointDescription": "work emalil",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 Briarwood Cir Ste 400",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481081650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aaverbach@elliementalhealth.com",
            "affiliation": "N",
            "address_1": "1601 Briarwood Cir Ste 400",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481081650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elliecats@elliementalhealth.com",
            "affiliation": "N",
            "address_1": "1601 Briarwood Cir Ste 400",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481081650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elliementalhealth.com",
            "affiliation": "N",
            "address_1": "1601 Briarwood Cir Ste 400",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481081650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.