Individual provider Active NPI

Sally Catherine Demshur, LMFT

  • Marriage & Family Therapist
  • Okemos, MI
National Provider Identifier
1053927350
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101007356 Issued in MI
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

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4101007356MIMDMarriage & Family Therapist
4704220828MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Demshur Therapy Services PLLC Marriage & Family Therapist CurrentSince Jun 18, 2023 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.

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.

Verify at the official NPI Registry.