Individual provider Active NPI

Joan Frances Lazar, MA, LLP, LPC

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1043267040
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361001644 Issued in MI
Practice address
6024 W Maple Rd
Suite 107
West Bloomfield, MI 48322-4405
Phone
(248) 489-1550
Fax
(248) 489-9767
NPI assigned
May 27, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401010065 MI
Cognitive & Behavioral Psychologist 103TB0200X 6301008586 MI
Clinical Psychologist 103TC0700X 6361001644 MI Primary

Addresses

Primary practice location

6024 W Maple Rd
Suite 107
West Bloomfield, MI 48322-4405

Mailing address

6024 W Maple Rd
Suite 107
West Bloomfield, MI 48322-4405
Phone (248) 489-1550

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
I20260323003000 MI Practitioner - Mental Health Counselor 4688158165 Practice locations: West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5600 W Maple Rd
Suite B212
West Bloomfield, MI 48322-3787
Phone (248) 892-4489

7337 Birchwood TRL
West Bloomfield, MI 48322-3360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401010065MIMDProfessional Counselor
6301008586MIMDCognitive & Behavioral Psychologist
6361001644MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Pioneer, Inc. Clinical Past Accepting new patients
North Point-Pioneer, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1043267040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 W MAPLE RD",
            "address_2": "SUITE 107",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224405",
            "telephone_number": "248-489-1550",
            "fax_number": "248-489-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 W MAPLE RD",
            "address_2": "SUITE 107",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224405",
            "telephone_number": "248-489-1550",
            "fax_number": "248-489-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "JOAN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010065",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301008586",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361001644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.