ABARIS HEALTH (NPI# 1720423262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720423262 |
| Entity Type | Organization |
| Organization Name | ABARIS HEALTH |
| Other Organization Name | GREAT LAKES COUNSELING |
| Practice Address |
50505 Schoenherr Rd Suite 270 Shelby Township MI 48315-3140 |
| Practice Telephone | 5862631234 |
| Mailing Telephone | 5862631234 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | DR. PAUL LUCKI SMITH (PRESIDENT) |
| Authorized Official Telephone | 2486568500 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Great Lakes Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508202920 | Abaris Health | Psychologist | 2501 Rochester Ct, Troy, MI 48083-1875 | 2013-05-13 |
| 1760828198 | Abaris Health | Psychologist | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-05-13 |
| 1588947345 | Abaris Health | Clinical Neuropsychologist | 1202 Walton Blvd, Suite 210, Rochester Hills, MI 48307-6917 | 2011-09-27 |
| Street Address |
50505 SCHOENHERR RD SUITE 270 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051127 | Grant Adam Lange | Internal Medicine | 50505 Schoenherr Rd, Suite 300, Shelby Township, MI 48315-3140 | 2005-05-27 |
| 1366092769 | Carly Knudsen | Nurse Practitioner | 50505 Schoenherr Rd, Ste 340, Shelby Township, MI 48315-3140 | 2019-09-17 |
| 1497281935 | Nicole Erin Graessle | Nurse Practitioner | 50505 Schoenherr Rd, Shelby Township, MI 48315 | 2017-05-03 |
| 1013455922 | Russell Miller | Nurse Practitioner | 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315-3140 | 2017-02-11 |
| 1699223982 | Elizabeth Anne White | Dermatology | 50505 Schoenherr Rd, Suite 325, Shelby Township, MI 48315-3140 | 2016-09-14 |
| 1558761510 | Rachel Menger | Counselor | 50505 Schoenherr Rd, Shelby Township, MI 48315-3140 | 2014-08-27 |
| 1003222902 | Ciara Braun | Counselor | 50505 Schoenherr Rd, Suite 270, Shelby Township, MI 48315-3140 | 2014-07-11 |
| 1417361361 | Cynthia Shields | Nurse Practitioner | 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 | 2014-06-19 |
| 1003226622 | Gi Medical Assoc PC | Internal Medicine | 50505 Schoenherr Rd, 250, Shelby Township, MI 48315-3140 | 2014-05-05 |
| 1639594799 | Stephanie Bazydlo | Dietitian, Registered | 50505 Schoenherr Rd, Suite 240, Shelby Township, MI 48315-3140 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
| 1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
| 1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
| 1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.