Individual provider Active NPI

Lisa Todd, LLPC

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1013348457
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008598 Issued in MI
Practice address
6221 Brush St
Detroit, MI 48202-3209
Phone
(313) 874-7014
Fax
(313) 874-7015
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008598 MI Primary

Addresses

Primary practice location

6221 Brush St
Detroit, MI 48202-3209

Mailing address

6221 Brush St
Detroit, MI 48202-3209
Phone (313) 874-7014

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
I20251020002177 MI Practitioner - Mental Health Counselor 0143718486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5716 Michigan Ave
Suite 3000
Detroit, MI 48210-3039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008598MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Solutions CurrentSince Aug 7, 2025 Accepting new patients

Locations

1700 Waterman St
Detroit, MI 48209
Phone (313) 841-8900

5716 Michigan Ave
Detroit, MI 48210
Phone (313) 554-1095

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1013348457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 BRUSH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023209",
            "telephone_number": "313-874-7014",
            "fax_number": "313-874-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 BRUSH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023209",
            "telephone_number": "313-874-7014",
            "fax_number": "313-874-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.