Laurie D Barnes, LPC

Individual provider Active NPI Professional Counselor · Mesick, MI

NPI 1043777394 · NPPES record last updated Feb 22, 2019

Key facts

NPI
1043777394
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401007533 (MI)
Practice address
5285 N 23 Rd
Mesick, MI 49668-9725
Phone
(231) 942-8999
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401007533MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 6401007533 MI Yes

Addresses

Primary practice location

5285 N 23 Rd
Mesick, MI 49668-9725

Mailing address

5285 N 23 Rd
Mesick, MI 49668-9725
Phone (231) 942-8999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 22, 2019.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1043777394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 N 23 RD",
            "city": "MESICK",
            "state": "MI",
            "postal_code": "496689725",
            "telephone_number": "231-942-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 N 23 RD",
            "city": "MESICK",
            "state": "MI",
            "postal_code": "496689725",
            "telephone_number": "231-942-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAURIE",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesick, MI

All providers in Mesick, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.