ABARIS HEALTH (NPI# 1508202920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508202920 |
| Entity Type | Organization |
| Organization Name | ABARIS HEALTH |
| Other Organization Name | GREAT LAKES COUNSELING |
| Practice Address |
2501 Rochester Ct Troy MI 48083-1875 |
| Mailing Address |
8391 Commerce Rd Suite 103 Commerce Township MI 48382-4489 |
| Practice Telephone | 2486568500 |
| Practice Fax Number | 2486568600 |
| Mailing Telephone | 2483633241 |
| Mailing Fax Number | 2486362762 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | DR. PAUL 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 | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Great Lakes Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760828198 | Abaris Health | Psychologist | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-05-13 |
| 1720423262 | Abaris Health | Psychologist | 50505 Schoenherr Rd, Suite 270, Shelby Township, MI 48315-3140 | 2013-05-09 |
| 1588947345 | Abaris Health | Clinical Neuropsychologist | 1202 Walton Blvd, Suite 210, Rochester Hills, MI 48307-6917 | 2011-09-27 |
| Street Address |
2501 ROCHESTER CT |
| City | TROY |
| State | MI |
| Zip Code | 48083-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013381797 | Jaclynn George | Counselor | 2501 Rochester Ct, Troy, MI 48083-1875 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952871907 | Radiate Counseling, Pllc | Clinic/Center | 3190 Rochester Rd Ste 106, Troy, MI 48083-5464 | 2018-12-03 |
| 1104331289 | Choices Counseling, Inc. | Clinic/Center | 197b E Us Highway 40, Troy, IL 62294-2262 | 2017-12-11 |
| 1558883652 | Desjardins Therapeutic Services LLC | Clinic/Center | 3190 Rochester Rd Ste 102, Troy, MI 48083-5464 | 2017-07-10 |
| 1285181628 | Pathways Counseling and Wellness Services, LLC | Clinic/Center | 115 Kenyon Dr, Troy, MI 48083-1047 | 2016-09-01 |
| 1508171455 | Illuminations Christian Counseling, Pllc | Clinic/Center | 1157 Shadow Dr, Troy, MI 48085-1779 | 2010-08-16 |
| 1285717413 | East Central Mental Health Mental Retardation, Inc. | Clinic/Center | 200 Cherry St, Troy, AL 36081-2044 | 2006-10-23 |
| 1255943031 | Path To Peace Therapeutic Counseling Center | Clinic/Center | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2020-08-21 |
| 1205476397 | Your Best Self Counseling | Clinic/Center | 2820 W Maple Rd Ste 123, Troy, MI 48084-7047 | 2020-01-07 |
| 1073154407 | The Behavioral Change Clinic Pllc | Clinic/Center | 200 E Big Beaver Rd, Troy, MI 48083-1208 | 2019-10-07 |
| 1518529049 | Courtney J. Boyd, Phd | Clinic/Center | 200 East Big Beaver Road, Troy, MI 48083 | 2019-07-04 |
| Find all providers in TROY | ||||
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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.