Active NPI
Wendy Lund Warner, LLPC
- Professional Counselor
- Shelby Township, MI
National Provider Identifier
1194147793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401013966
- Practice address
- 45445 Mound Rd
Suite 111
Shelby Township, MI 48317-5178 - Phone
- (586) 254-3663
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013966 | MI | Primary |
Addresses
Primary practice location
45445 Mound Rd
Suite 111
Shelby Township, MI 48317-5178
Mailing address
45445 Mound Rd
Suite 111
Shelby Township, MI 48317-5178
Phone (586) 254-3663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 4, 2024 through Jun 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013966 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1194147793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45445 MOUND RD",
"address_2": "SUITE 111",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483175178",
"telephone_number": "586-254-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45445 MOUND RD",
"address_2": "SUITE 111",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483175178",
"telephone_number": "586-254-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "WENDY",
"middle_name": "LUND",
"name_prefix": "Mrs.",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.