Mitchell Adrian Andries, M.A.LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013921 Issued in MI

Practice address

17421 Telegraph
Detroit, MI 48219-5910

Phone

(313) 255-0900

Fax

(313) 255-3465

NPI assigned

Jun 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1841501392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17421 TELEGRAPH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482195910",
            "telephone_number": "313-255-0900",
            "fax_number": "313-255-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 TELEGRAPH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482195910",
            "telephone_number": "313-255-0900",
            "fax_number": "313-255-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIES",
        "first_name": "MITCHELL",
        "middle_name": "ADRIAN",
        "name_prefix": "Mr.",
        "credential": "M.A.LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213119549",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.