Active NPI
Jim Gilfix, MSW
- Counselor
- Brownstown, MI
National Provider Identifier
1922268218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6801058549
- Practice address
- 19366 Allen Rd
Brownstown, MI 48183 - Phone
- (734) 405-0176
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6801058549 | MI | Primary |
Addresses
Primary practice location
19366 Allen Rd
Brownstown, MI 48183
Mailing address
1547 S Wayne Rd
Westland, MI 48186-5436
Phone (734) 405-0176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383501869 | Other | MI | APEX BEHAVIORAL TAX ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801058549 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1922268218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 S WAYNE RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865436",
"telephone_number": "734-405-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19366 ALLEN RD",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "48183",
"telephone_number": "734-405-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILFIX",
"first_name": "JIM",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6801058549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APEX BEHAVIORAL TAX ID",
"identifier": "383501869",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownstown, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.