Individual provider Active NPI

Lorraine Dale Sims, MA, LLP, LPC

  • Counseling Psychologist
  • North Branch, MI
National Provider Identifier
1154443216
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301007280 Issued in MI
Practice address
5914 N Lapeer Rd
North Branch, MI 48461-9778
Phone
(810) 245-3885
Fax
(810) 667-6459
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401004837 MI
Counseling Psychologist 103TC1900X 6301007280 MI Primary

Addresses

Primary practice location

5914 N Lapeer Rd
North Branch, MI 48461-9778

Mailing address

PO Box 445
Lapeer, MI 48446-0445
Phone (810) 245-3885

Other identifiers 1

IdentifierTypeStateIssuer
11580952OtherMICAQH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401004837MIMDCounselor
6301007280MIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1154443216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484460445",
            "telephone_number": "810-245-3885",
            "fax_number": "810-667-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 N LAPEER RD",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484619778",
            "telephone_number": "810-245-3885",
            "fax_number": "810-667-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "LORRAINE",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401004837",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301007280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11580952",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.