Lisa Van-Le

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009430 Issued in MI

Practice address

625 E Big Beaver Rd Ste 200
Troy, MI 48083-1434

Phone

(586) 863-4000

NPI assigned

Dec 16, 2018

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Traini Counseling Group P.C.

  • Clinical Social Worker
  • Flint, MI
  • NPI 1760977094
  Medicare reassignment
• Hetal Patel, M.D. P.C.

  • Psychiatry Physician
  • Chesterfield, MI
  • NPI 1447672944
  NPD
• Henry Ford Health System

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1891702833
  NPD (past)
• Therapy, It's Personal PLLC

  • Professional Counselor
  • Chesterfield, MI
  • NPI 1912625872
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1114498342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E BIG BEAVER RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831434",
            "telephone_number": "586-863-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BIG BEAVER RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831434",
            "telephone_number": "586-863-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Charter Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323587",
            "country_code": "US",
            "telephone_number": "810-877-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN-LE",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Rose Valeri, ATC, LAT
• Value Health Laboratory LLC
• Azeldri Van Der Wath, LCSW
• Samantha Ann Van Every
• Elyse C Van Ittersum, FNP-C
• Ryan Vanbommel, DC
• Brittany Vanbuskirk, D.D.S.
• David Vandenberg, M.D.
• Erin Rachel Vandenberg, PA-C
• Ashley Vanderburg

• Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.