Active NPI
Gerald McAvoy, MA, LPC
- Professional Counselor
- Charlevoix, MI
National Provider Identifier
1972982841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401004033
- Practice address
- 208 W Lincoln St
Charlevoix, MI 49720 - Phone
- (231) 547-1144
- NPI assigned
- May 26, 2015
- Last updated
- Feb 24, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401004033 | MI | Primary |
Addresses
Primary practice location
208 W Lincoln St
Charlevoix, MI 49720
Mailing address
208 W Lincoln St
Charlevoix, MI 49720-1336
Phone (231) 547-1144
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383SYS0617-C | Other | MI | HUMANA BEHAVIORAL HEALTH |
| 000722974 | Other | MI | OPTUM |
| 1972982841 | Other | MI | BCBSM PPOTRUST (55) & BCBSMMENTALHEALTH & SUBSTANCE ABUSE |
| 20151209439760 | Medicaid | MI | |
| MIS601220445 | Other | MI | MAGELLAN HEALTHCARE |
| MHPC20131030 | Other | MI | MCLAREN HEALTH PLAN, MCLAREN MEDICAID, MCLAREN HMO, MCLAREN HEALTH ADVANTAGE |
| COUN18-99599 | Other | MI | MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES |
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 |
|---|---|---|---|
| 6401004033 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1972982841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W LINCOLN ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201336",
"telephone_number": "231-547-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W LINCOLN ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "49720",
"telephone_number": "231-547-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAVOY",
"first_name": "GERALD",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401004033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA BEHAVIORAL HEALTH",
"identifier": "383SYS0617-C",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "000722974",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PPOTRUST (55) & BCBSMMENTALHEALTH & SUBSTANCE ABUSE",
"identifier": "1972982841",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20151209439760",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTHCARE",
"identifier": "MIS601220445",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN, MCLAREN MEDICAID, MCLAREN HMO, MCLAREN HEALTH ADVANTAGE",
"identifier": "MHPC20131030",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES",
"identifier": "COUN18-99599",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlevoix, MI
- Marla Ane Marrs
- Nina Kay Martenson, TLLP
- Sandra Lee Martin, WHNP-BC
- Maxwell Newman Smith Psychotherapy
- Leah M Mayotte, MA, LPC, CAADC, EMDR
- Gregory J McBride, D.O
- Kristen Lee McClure, D.C.
- McFadden Chiropractic Clinic Inc
- Brian Paul McFadden, DC
- McLaren Central Michigan (McLaren Northern Heart and Vascular)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.