Individual provider Active NPI

Brad Maliszewski, MA LLPC BSW

  • Counselor
  • Livonia, MI
National Provider Identifier
1912250788
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401006894 Issued in MI
Practice address
38080 5 Mile Rd
Livonia, MI 48154-1558
Phone
(734) 637-6478
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X L2266987 MI
Counselor 101Y00000X 6401006894 MI Primary

Addresses

Primary practice location

38080 5 Mile Rd
Livonia, MI 48154-1558

Mailing address

38080 Five Mile Rd
Livonia, MI 48154-1558
Phone (734) 637-6478

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
6401006894MIMDCounselor
L2266987MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1912250788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38080 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541558",
            "telephone_number": "734-637-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38080 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541558",
            "telephone_number": "734-637-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALISZEWSKI",
        "first_name": "BRAD",
        "name_prefix": "Mr.",
        "credential": "MA LLPC BSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L2266987",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401006894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.