Active NPI
Fatima Quibella Mayo-Hill
- Professional Counselor
- Caro, MI
National Provider Identifier
1891012134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010709
- Practice address
- 467 N State St
Caro, MI 48723-1539 - Phone
- (989) 673-5700
- Fax
- (989) 672-2017
- NPI assigned
- Apr 27, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010709 | MI | Primary |
Addresses
Primary practice location
467 N State St
Caro, MI 48723-1539
Mailing address
443 N State St
Caro, MI 48723-1539
Phone (989) 672-6160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20593 | Other | MI | BCBS SUBSTANCE ABUSE |
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 |
|---|---|---|---|
| 6401010709 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Place Called Home Health Care Services LLC | Current | Accepting new patients |
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.
-
- Home Health Agency
- Saginaw, MI
- NPI 1942981170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1891012134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 N STATE ST",
"city": "CARO",
"state": "MI",
"postal_code": "487231539",
"telephone_number": "989-672-6160",
"fax_number": "989-672-5649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 N STATE ST",
"city": "CARO",
"state": "MI",
"postal_code": "487231539",
"telephone_number": "989-673-5700",
"fax_number": "989-672-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO-HILL",
"first_name": "FATIMA",
"middle_name": "QUIBELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SUBSTANCE ABUSE",
"identifier": "20593",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.