Individual provider Active NPI

Patricia Vincent, M.S.W.

  • Addiction (Substance Use Disorder) Counselor
  • East Lansing, MI
National Provider Identifier
1104979574
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAC Issued in MI
Practice address
790 W Lake Lansing Rd
Ste. 300
East Lansing, MI 48823-8465
Phone
(517) 332-2433
Fax
(517) 332-4311
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC MI Primary
Clinical Social Worker 1041C0700X 6801063739 MI

Addresses

Primary practice location

790 W Lake Lansing Rd
Ste. 300
East Lansing, MI 48823-8465

Mailing address

790 W Lake Lansing Rd
Ste. 300
East Lansing, MI 48823-8465
Phone (517) 332-2433

Other names 1

  • Ms. Patricia L. Vincent Other name

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
CACMIMDAddiction (Substance Use Disorder) Counselor
6801063739MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104979574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W LAKE LANSING RD",
            "address_2": "STE. 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238465",
            "telephone_number": "517-332-2433",
            "fax_number": "517-332-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W LAKE LANSING RD",
            "address_2": "STE. 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238465",
            "telephone_number": "517-332-2433",
            "fax_number": "517-332-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "CAC",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "VINCENT",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "M.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.