Individual provider Active NPI

Phyllis J Scripsick, MA, LPC, NCC, LBSW

  • Professional Counselor
  • Livonia, MI
National Provider Identifier
1003111204
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012702 Issued in MI
Practice address
33150 Schoolcraft Rd Ste 102
Livonia, MI 48150-1646
Phone
(734) 788-9032
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802085554 MI
Professional Counselor 101YP2500X 6401012702 MI Primary

Addresses

Primary practice location

33150 Schoolcraft Rd Ste 102
Livonia, MI 48150-1646

Mailing address

7438 Lacy Dr
Van Buren TWP, MI 48111-5369
Phone (734) 788-9032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013000748 MI Practitioner - Mental Health Counselor 3274020524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33150 Schoolcraft Rd
Suite 102
Livonia, MI 48150-1646

40433 Koppernick Rd
Canton, MI 48187-4283

7438 Lacy Dr
Van Buren Township, MI 48111-5369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012702MIMDProfessional Counselor
6802085554MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing in the Moment Counseling PLLC CurrentSince Sep 5, 2025 Accepting new patients

Locations

33150 Schoolcraft Rd
Ste L03
Livonia, MI 48150
Phone (248) 497-3411

33150 Schoolcraft Rd
Ste 102
Livonia, MI 48150
Phone (517) 377-6732

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1003111204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 LACY DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481115369",
            "telephone_number": "734-788-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33150 SCHOOLCRAFT RD STE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501646",
            "telephone_number": "734-788-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIPSICK",
        "first_name": "PHYLLIS",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC, LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802085554",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.