Active NPI
Sally Catherine Demshur, LMFT
- Marriage & Family Therapist
- Okemos, MI
National Provider Identifier
1053927350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101007356
- Practice address
- 4295 Okemos Rd Ste 160
Okemos, MI 48864-6200 - Phone
- (616) 765-8720
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704220828 | MI | |
| Marriage & Family Therapist | 106H00000X | 4101007356 | MI | Primary |
Addresses
Primary practice location
4295 Okemos Rd Ste 160
Okemos, MI 48864-6200
Mailing address
2534 Lupine CT
Okemos, MI 48864-3366
Phone (919) 260-8612
Other practice location 1
2534 Lupine Ct
Okemos, MI 48864-3366
Phone (919) 260-8612
Other practice location 2
1750 E Grand River Ave Ste 103
East Lansing, MI 48823-4958
Phone (616) 765-8720
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101007356 | MI | MD | Marriage & Family Therapist |
| 4704220828 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demshur Therapy Services PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
4295 Okemos Rd
Ste 160
Okemos, MI 48864
Phone (616) 765-8720
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.
-
- Marriage & Family Therapist
- Okemos, MI
- NPI 1336833615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1053927350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 LUPINE CT",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643366",
"telephone_number": "919-260-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 OKEMOS RD STE 160",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646200",
"telephone_number": "616-765-8720"
}
],
"practiceLocations": [
{
"address_1": "2534 Lupine Ct",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488643366",
"country_code": "US",
"telephone_number": "919-260-8612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 E Grand River Ave Ste 103",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488234958",
"country_code": "US",
"telephone_number": "616-765-8720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMSHUR",
"first_name": "SALLY",
"middle_name": "CATHERINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704220828",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101007356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.