Individual provider Active NPI

Lyndi Johnston, MA, LPC

  • Counselor
  • Detroit, MI
National Provider Identifier
1003263229
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015857 Issued in MI
Practice address
7650 2ND Ave Ste 108
Detroit, MI 48202-2412
Phone
(313) 329-9712
Fax
(313) 879-6812
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015857 MI Primary

Addresses

Primary practice location

7650 2ND Ave Ste 108
Detroit, MI 48202-2412

Mailing address

7650 2ND Ave Ste 108
Detroit, MI 48202-2412
Phone (313) 329-9712

Other practice location 1

4424 NE Glisan St
Portland, OR 97213-2331
Phone (971) 517-8047

Other practice location 2

1 Parklane Blvd Ste 1200E
Dearborn, MI 48126
Phone (313) 329-9712

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

LicenseStateTypeSpecialty
6401015857MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1003263229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 2ND AVE STE 108",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022412",
            "telephone_number": "313-329-9712",
            "fax_number": "313-879-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 2ND AVE STE 108",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022412",
            "telephone_number": "313-329-9712",
            "fax_number": "313-879-6812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4424 NE Glisan St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132331",
            "country_code": "US",
            "telephone_number": "971-517-8047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Parklane Blvd Ste 1200E",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48126",
            "country_code": "US",
            "telephone_number": "313-329-9712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LYNDI",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-05-05",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.