Individual provider Active NPI

Edward Altenritter, MA, CRC LPC

  • Counselor
  • Okemos, MI
National Provider Identifier
1902256449
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401000102 Issued in MI
Practice address
2111 University Park Dr
Okemos, MI 48864-5938
Phone
(517) 336-4335
Fax
(517) 336-0101
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401000102 MI Primary

Addresses

Primary practice location

2111 University Park Dr
Okemos, MI 48864-5938

Mailing address

2111 University Park Drive
Okemos, MI 48864
Phone (517) 336-4335

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401000102MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1902256449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 UNIVERSITY PARK DRIVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-336-4335",
            "fax_number": "517-336-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 UNIVERSITY PARK DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645938",
            "telephone_number": "517-336-4335",
            "fax_number": "517-336-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENRITTER",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MA, CRC LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401000102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.