VICKY AVERY (NPI# 1942737853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942737853 |
| Entity Type | Individual |
| Full Name | VICKY AVERY |
| Practice Address |
13560 E Mcnichols Rd Detroit MI 48205-3426 |
| Mailing Address |
62 Massachusetts St Highland Park MI 48203-3537 |
| Practice Telephone | 3138833300 |
| Practice Fax Number | 3137310156 |
| Mailing Telephone | 3132825832 |
| Mailing Fax Number | 3137310156 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 823032 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1134502354 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 62 Massachusetts St, Highland Park, MI 482033537 | (313) 282-5832 | 3137310156 |
| Street Address |
13560 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48205-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780996926 | Kourouma Services LLC | Case Management | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2010-07-03 |
| 1528525623 | Bhis-blessed Hands Interpreting Services | Interpreter | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2019-02-25 |
| 1326416876 | Dad-delphine Alfred Duncan Foundation for The Deaf and Hard of Hearing | Counselor | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2015-09-14 |
| 1548658891 | Annebelle Verette Duncan | Counselor | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2015-01-08 |
| 1851661961 | Tammy R Watkins | Social Worker | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2012-01-05 |
| 1235437047 | Family Service of Detroit & Wayne County | Counselor | 13560 E Mcnichols Rd, 122, Detroit, MI 48205-3426 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
| 1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
| 1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
| 1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
| 1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
| 1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
| Find all providers in zip 48205 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023553385 | Shadorie Anne Ewing | Prevention Professional | 14644 Hubbell St, Detroit, MI 48227-4809 | 2016-12-22 |
| 1841853009 | Gray Allen Strode | Prevention Professional | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410596 | Justin S Kroll | Prevention Professional | 1902 13th St, Port Huron, MI 48060-6238 | 2019-11-04 |
| 1932661972 | Vision Quest Recovery LLC | Prevention Professional | 32890 Killewald St, Chesterfield, MI 48047-3308 | 2019-04-01 |
| 1114481868 | Keith P Walters | Prevention Professional | 370 Country Club Rd Ste A, Holland, MI 49423-8303 | 2019-01-28 |
| 1588145387 | U1st Transitional Living Program | Prevention Professional | 227 N Winter St, Adrian, MI 49221-2066 | 2018-08-28 |
| 1346788866 | Joshua Akers | Prevention Professional | 625 Brogan Rd, Webberville, MI 48892-9226 | 2017-02-03 |
| 1033729777 | Kevin Figurski | Prevention Professional | 412 Century Ln, Holland, MI 49423-4285 | 2020-08-07 |
| 1780163972 | Jennifer Courtney Gail Webb | Prevention Professional | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2018-08-09 |
| 1134667314 | Alison Pemberton | Prevention Professional | 302 S Main St, Yale, MI 48097-3320 | 2017-02-07 |
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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.