Active NPI
Andrea Balibay Mlak, M.A., LLP
- Mental Health Counselor
- Livonia, MI
National Provider Identifier
1952605776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6301011734
- Practice address
- 33505 Schoolcraft Rd
Suite 3
Livonia, MI 48150-1630 - Phone
- (734) 721-0200
- NPI assigned
- Jan 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6301011734 | MI | Primary |
Addresses
Primary practice location
33505 Schoolcraft Rd
Suite 3
Livonia, MI 48150-1630
Mailing address
33505 Schoolcraft Rd
Suite 3
Livonia, MI 48150-1630
Phone (734) 721-0200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011734 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc. | 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.
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294531200000",
"number": "1952605776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33505 SCHOOLCRAFT RD",
"address_2": "SUITE 3",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501630",
"telephone_number": "734-721-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33505 SCHOOLCRAFT RD",
"address_2": "SUITE 3",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501630",
"telephone_number": "734-721-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLAK",
"first_name": "ANDREA",
"middle_name": "BALIBAY",
"name_prefix": "Ms.",
"credential": "M.A., LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-09",
"last_updated": "2011-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6301011734",
"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 Jan 9, 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.