Individual provider Active NPI

Lourdes Corinne Fonseca-Nearon, LLPC

  • Counselor
  • Troy, MI
National Provider Identifier
1245001882
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451023476 Issued in MI
Practice address
215 E Big Beaver Rd Ste 100
Troy, MI 48083-1216
Phone
(313) 451-3315
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451023476 MI Primary

Addresses

Primary practice location

215 E Big Beaver Rd Ste 100
Troy, MI 48083-1216

Mailing address

23730 Rowe St
Dearborn, MI 48124-1631
Phone (313) 282-1340

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

State licenses

LicenseStateTypeSpecialty
6451023476MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maples Creative Counseling LLC Counselor CurrentSince Jan 14, 2024 Accepting new patients

Locations

2835 Bagley St
Ste 825
Detroit, MI 48216
Phone (313) 451-3315

215 E Big Beaver Rd
Ste 100
Troy, MI 48083
Phone (313) 451-3315

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1245001882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23730 ROWE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241631",
            "telephone_number": "313-282-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BIG BEAVER RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831216",
            "telephone_number": "313-451-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA-NEARON",
        "first_name": "LOURDES",
        "middle_name": "CORINNE",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.