Active NPI
Lakeside Professional Counseling, P.C.
- Mental Health Counselor
- Shelby Township, MI
National Provider Identifier
1073084083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LAKESIDE PROFESSIONAL COUNSELING, P.C.
- Practice address
- 8072 21 Mile Rd
Shelby Township, MI 48317-4310 - Phone
- (586) 932-2700
- Fax
- (586) 932-2705
- NPI assigned
- Dec 17, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jessica J Lentz, LPC
- Title
- President
- Phone
- (586) 932-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210824003131 | MI | Part B Supplier - Clinic/Group Practice | 8729483078 |
Receives reassigned benefits from 15 practitioners Practice locations: Highland, MI; Shelby TWP, MI |
National Provider Directory
National Provider DirectoryLocations
8072 21 Mile Rd
Shelby Township, MI 48317
Phone (586) 491-6909
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8072 21 Mile Rd
Shelby Township, MI 48317-4310
Mailing address
8072 21 Mile Rd
Shelby Township, MI 48317-4310
Phone (586) 932-2700
Other practice location 1
212 W Highland Rd Ste 102
Highland, MI 48357-4504
Phone (586) 932-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2026.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1073084083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8072 21 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483174310",
"telephone_number": "586-932-2700",
"fax_number": "586-932-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8072 21 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483174310",
"telephone_number": "586-932-2700",
"fax_number": "586-932-2705"
}
],
"practiceLocations": [
{
"address_1": "212 W Highland Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "MI",
"postal_code": "483574504",
"country_code": "US",
"telephone_number": "586-932-2700",
"fax_number": "586-932-2705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LAKESIDE PROFESSIONAL COUNSELING, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-17",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "LENTZ",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-932-2700",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.