Active NPI
Gary Joseph Zilli, MA GUIDANCE & COUNSE
- Addiction (Substance Use Disorder) Counselor
- Eastpointe, MI
National Provider Identifier
1912298910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C-00924
- Practice address
- 20811 Kelly Road
Suite 103
Eastpointe, MI 48021 - Phone
- (586) 445-2210
- NPI assigned
- Apr 25, 2011
- Last updated
- Apr 25, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-00924 | MI | Primary |
Addresses
Primary practice location
20811 Kelly Road
Suite 103
Eastpointe, MI 48021
Mailing address
29567 Eiffel
Warren, MI 48088
Phone (586) 573-7828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-00924 | Other | MI | CAADC |
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 |
|---|---|---|---|
| C-00924 | MI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Eastwood Behavioral Health | Addiction (Substance Use Disorder) | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eastwood Clinics
- Social Worker
- Clinton Township, MI
- NPI 1396787701
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1912298910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29567 EIFFEL",
"city": "WARREN",
"state": "MI",
"postal_code": "48088",
"telephone_number": "586-573-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20811 KELLY ROAD",
"address_2": "SUITE 103",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "48021",
"telephone_number": "586-445-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZILLI",
"first_name": "GARY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MA GUIDANCE & COUNSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-00924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAADC",
"identifier": "C-00924",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.