Individual provider Active NPI

Lisa Ellen Zessin, MA, LLPC

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1225607476
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015436 Issued in MI
Practice address
24901 Northwestern Hwy Ste 314E
Southfield, MI 48075-2207
Phone
(313) 401-0990
Fax
(248) 327-3565
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015436 MI Primary

Addresses

Primary practice location

24901 Northwestern Hwy Ste 314E
Southfield, MI 48075-2207

Mailing address

21600 Tanglewood St
Saint Clair Shores, MI 48082-2249

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
6401015436MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Counseling Services CurrentSince Jun 27, 2021 Accepting new patients

Locations

24901 Northwestern Hwy
Ste 314E
Southfield, MI 48075
Phone (313) 401-0990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1225607476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 TANGLEWOOD ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 314E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752207",
            "telephone_number": "313-401-0990",
            "fax_number": "248-327-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZESSIN",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.