Individual provider Active NPI

Lisa M Robinson, LLPC

  • Counselor
  • Waterford, MI
National Provider Identifier
1053632190
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011777 Issued in MI
Practice address
6637 Highland Rd
Waterford, MI 48327-1675
Phone
(248) 666-8870
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011777 MI Primary

Addresses

Primary practice location

6637 Highland Rd
Waterford, MI 48327-1675

Mailing address

4170 Farner Ave
Waterford, MI 48329-4104
Phone (248) 762-4286

Other names 1

  • Ms. Lisa M Perry Other name

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
I20231215000859 MI Practitioner - Mental Health Counselor 7416306451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel L Young MD PCGroup PAC ID 3971575929, 59 clinicians

Practice addresses (Care Compare)

441 S Livernois Rd
100 Rochester Center for Behavioral Medicin
Rochester HLS, MI 48307-2585
Phone (248) 608-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401011777MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joel L. Young, M.D., P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

441 S Livernois Rd
Ste 100
Rochester Hills, MI 48307
Phone (248) 608-8800

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1053632190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 FARNER AVE",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294104",
            "telephone_number": "248-762-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271675",
            "telephone_number": "248-666-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PERRY",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.