Individual provider Active NPI

Sareena Lynn Watkins

  • Mental Health Counselor
  • Flushing, MI
National Provider Identifier
1073485694
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451024040 Issued in MI
Practice address
1429 Flushing Rd Ste C
Flushing, MI 48433-2228
Phone
(734) 600-7873
NPI assigned
Sep 22, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451024040 MI Primary

Addresses

Primary practice location

1429 Flushing Rd Ste C
Flushing, MI 48433-2228

Mailing address

2615 Brookside Dr
Flint, MI 48503-2873
Phone (810) 644-6564

Other practice location 1

2290 E Hill Rd Ste 105
Grand Blanc, MI 48439-5421
Phone (810) 644-6564

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
6451024040MIMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1073485694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 BROOKSIDE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032873",
            "telephone_number": "810-644-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 FLUSHING RD STE C",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332228",
            "telephone_number": "734-600-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 E Hill Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484395421",
            "country_code": "US",
            "telephone_number": "810-644-6564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SAREENA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.