ANDREA CASEY, PH.D., L.P., PLLC — NPI 1568856227 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in FENTON, MI)

CMS-1500 Box 24J / 33a • NPI

1568856227

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0801X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

119 S LEROY ST, C/O HOPE COUNSELING CENTER, FENTON, MI, 48430-2637

✓ 9-Digit EDI 837 ZIP+4 (48430-2637)

Practice Phone & Referral Fax

(810) 516-0615

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1568856227 (ANDREA CASEY, PH.D., L.P., PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1568856227` (NPI-2 Organization / Facility)
Provider / Legal Name	ANDREA CASEY, PH.D., L.P., PLLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0801X` (Clinic/Center, Mental Health (Including Community Mental Health Center))
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	119 S LEROY ST, C/O HOPE COUNSELING CENTER, FENTON, MI, 48430-2637
Practice Telephone / Fax	Tel: (810) 516-0615
Administrative Mailing Address	4370 ISLAND VIEW DR, FENTON, MI, 48430-9145
Enumeration & Last Sync	Enumerated: 2015-03-20 \| CMS Record Updated: 2015-03-30
Authorized Official	ANDREA CASEY (member)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

119 S LEROY ST, C/O HOPE COUNSELING CENTER, FENTON, MI, 48430-2637

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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)

What Does Taxonomy Code 261QM0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Community Mental Health Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREA CASEY, PH.D., L.P., PLLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MI \| License: `6301008470` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDREA CASEY, PH.D., L.P., PLLC (NPI #1568856227)