Organization Active NPI

MD Lee Counseling, PLLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1235523903
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090026 Issued in MI
Legal business name
MD LEE COUNSELING, PLLC
Practice address
628 N Main St
Royal Oak, MI 48067-1834
Phone
(248) 909-9481
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Ms. Melissa D. Lee, LMSW
Title
Licensed Clinical Therapist
Phone
(248) 909-9481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801090026 MI Primary

Addresses

Primary practice location

628 N Main St
Royal Oak, MI 48067-1834

Mailing address

1133 S Long Lake Blvd
Lake Orion, MI 48362-3648
Phone (248) 909-9481

Other names 1

  • Melissa D. Lee, LMSW Doing business as

National Provider Directory

National Provider Directory

Locations

23650 Woodward Ave
Ste 100
Pleasant Ridge, MI 48069
Phone (248) 909-9481

628 N Main St
Royal Oak, MI 48067
Phone (248) 229-5467

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1235523903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 S LONG LAKE BLVD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623648",
            "telephone_number": "248-909-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671834",
            "telephone_number": "248-909-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD LEE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSED CLINICAL THERAPIST",
        "authorized_official_telephone_number": "248-909-9481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa D. Lee, LMSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.