Active NPI
Lynette Lange, MA, LLPC
- Professional Counselor
- Monroe, MI
National Provider Identifier
1003113713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011751
- Practice address
- 14930 Laplaisance Rd
Suite 106
Monroe, MI 48161-3880 - Phone
- (734) 241-0180
- NPI assigned
- Feb 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011751 | MI | Primary |
Addresses
Primary practice location
14930 Laplaisance Rd
Suite 106
Monroe, MI 48161-3880
Mailing address
14930 Laplaisance Rd
Suite 106
Monroe, MI 48161-3880
Phone (734) 241-0180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011751 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling & Shelter Services | Past | Accepting new patients | |
| Family Counseling and Shelter Services of Monroe County | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/704a1319-18d8-48a8-90a4-1ca0fbc05de6/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Monroe, MI
- NPI 1912181322
-
- Community/Behavioral Health Agency
- Monroe, MI
- NPI 1215251376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1003113713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"address_2": "SUITE 106",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-241-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"address_2": "SUITE 106",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-241-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "MA, LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.