Organization Active NPI

Uplift & Inspire,LLC

  • Mental Health Counselor
  • Lansing, MI
National Provider Identifier
1114523156
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UPLIFT & INSPIRE,LLC
Practice address
6035 Executive Dr Ste 204
Lansing, MI 48911-5338
Phone
(734) 627-7669
Fax
(734) 627-6001
NPI assigned
Dec 6, 2020
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Mrs. Domonika Tipton, LMSWNPI 1104463462
Title
Therapist
Phone
(734) 627-7669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

6035 Executive Dr Ste 204
Lansing, MI 48911-5338

Mailing address

6035 Executive Dr Ste 204
Lansing, MI 48911-5338
Phone (734) 627-7669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929003455 MI Part B Supplier - Clinic/Group Practice 5799182994 Receives reassigned benefits from 2 practitioners
Practice locations: Mason, MI

National Provider Directory

National Provider Directory

Locations

3105 S Martin Luther King Jr Blvd
#114
Lansing, MI 48910
Phone (517) 657-5503

6920 S Cedar St
Ste 11
Lansing, MI 48911
Phone (517) 528-5957

118 W Oak St
Ste 205
Mason, MI 48854
Phone (734) 627-7669

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1114523156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 EXECUTIVE DR STE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115338",
            "telephone_number": "734-627-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 EXECUTIVE DR STE 204",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115338",
            "telephone_number": "734-627-7669",
            "fax_number": "734-627-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT & INSPIRE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "DOMONIKA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "734-627-7669",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.