Jeffrey Richard Ayres, CAC1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3139 W Huron St
Waterford, MI 48328-3636

Phone

(248) 320-9466

Fax

(248) 738-8404

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Recovery Consultants Inc

  • Community/Behavioral Health Agency
  • Waterford, MI
  • NPI 1467648535
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952425480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SALMER AVE",
            "address_2": "#23",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412065",
            "telephone_number": "248-320-9466",
            "fax_number": "248-738-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283636",
            "telephone_number": "248-320-9466",
            "fax_number": "248-738-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "CAC1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricruz Avitia, LLPC
• Khaled Awwad, PMHNP
• Fozia Ayaz, LLMSW-C
• Ayres Physical Therapy PLLC
• Elizabeth Ayres
• B.D.G.Optics, Inc
• Cassandra Babcock
• Roberta Stefanie Babics, LLBSW
• Nicole Irene Back
• Kelly Backers

• All providers in Waterford, MI
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.