Tymathie Douglas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4287 Five Oaks Dr
Lansing, MI 48911-4214

Phone

(517) 882-4000

NPI assigned

Jun 15, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Child and Family Charities

  • Community/Behavioral Health Agency
  • Lansing, MI
  • NPI 1679594832
  NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1154946168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 W SAGINAW HWY PO BOX #81096",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "317-643-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 FIVE OAKS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114214",
            "telephone_number": "517-882-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 W Saginaw Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489172654",
            "country_code": "US",
            "telephone_number": "317-643-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TYMATHIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estelle A Dos-Reis, FNP
• Shirin Elizabeth Doshi, D.O.
• Melissa Doss
• Monica Dottei, PA
• Douglas E. Pugmire DO PLLC
• Sophia Eleni Doukas
• Doulas of Lansing
• Mari Elizabeth Douma, D.O
• Aminata Doumbouya
• Lisa Doutherd, LLPC, BSW

• Mental Health Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.