Individual provider Active NPI

Kyle Anne Mayes, LMSW, CAADC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Farmington Hills, MI
National Provider Identifier
1891051264
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
26428 Old Homestead Dr
Farmington Hills, MI 48331-3841
Phone
(347) 788-1238
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

26428 Old Homestead Dr
Farmington Hills, MI 48331-3841

Mailing address

26428 Old Homestead Dr
Farmington Hills, MI 48331-3841
Phone (347) 788-1238

Other practice location 1

1 Ford Pl
Detroit, MI 48202-3450
Phone (313) 874-6677

Other practice location 2

882 Oakman Blvd Ste C
Detroit, MI 48238-4019
Phone (313) 961-4890

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
National Council on Alcoholism & Drug Dependence Greater Detroit Addiction (Substance Use Disorder) Past Accepting new patients
National Council on Alcoholism Drug Dependence Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kfoley539739@direct.hfhs.org

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1891051264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26428 OLD HOMESTEAD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313841",
            "telephone_number": "347-788-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26428 OLD HOMESTEAD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313841",
            "telephone_number": "347-788-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ford Pl",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023450",
            "country_code": "US",
            "telephone_number": "313-874-6677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "882 Oakman Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482384019",
            "country_code": "US",
            "telephone_number": "313-961-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYES",
        "first_name": "KYLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW, CAADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-07-25",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.