Individual provider Active NPI

Debra J. Farrell, PHD, LPC, CCMHC, NCC

  • Professional Counselor
  • Lansing, MI
National Provider Identifier
1174941157
Registry record updated Mar 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012447 Issued in MI
Practice address
612 S Creyts Rd Ste B
Lansing, MI 48917-8266
Phone
(517) 285-0527
Fax
(517) 220-4694
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C02376 MI
Mental Health Counselor 101YM0800X 318674 MI
Rehabilitation Counselor 225C00000X 00049518 MI
Occupational Therapist 225X00000X 5201000678 MI
Professional Counselor 101YP2500X 6401012447 MI Primary

Addresses

Primary practice location

612 S Creyts Rd Ste B
Lansing, MI 48917-8266

Mailing address

612 S Creyts Rd Ste B
Lansing, MI 48917-8266
Phone (517) 285-0527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623003422 MI Practitioner - Mental Health Counselor 6103338413 Practice locations: Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 S Creyts Rd
Suite B
Lansing, MI 48917-8266
Phone (517) 285-0527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C02376MIMDAddiction (Substance Use Disorder) Counselor
318674MIMDMental Health Counselor
00049518MIMDRehabilitation Counselor
5201000678MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recoarse Counseling, PLLC Professional CurrentSince Jun 9, 2015 Accepting new patients

Locations

612 S Creyts Rd
Ste B
Lansing, MI 48917
Phone (517) 285-0527

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521849600000",
    "number": "1174941157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S CREYTS RD STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178266",
            "telephone_number": "517-285-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S CREYTS RD STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178266",
            "telephone_number": "517-285-0527",
            "fax_number": "517-220-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "DEBRA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, CCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2018-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C02376",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "318674",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "MI",
            "license": "00049518",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000678",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.