Individual provider Active NPI

Annalise Joelle Garcia, LLC

  • Counselor
  • Lake Orion, MI
National Provider Identifier
1245068923
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451023713 Issued in MI
Practice address
45 N Lapeer St
Lake Orion, MI 48362-3159
Phone
(248) 693-9614
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 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 6451023713 MI Primary

Addresses

Primary practice location

45 N Lapeer St
Lake Orion, MI 48362-3159

Mailing address

422 Maple Dr
Oakland, MI 48363-1534
Phone (248) 762-0636

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
6451023713MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Place Counseling LLC Dba Treeside Psychological Clinic Counselor CurrentSince May 25, 2025 Accepting new patients

Locations

45 N Lapeer St
Lake Orion, MI 48362
Phone (248) 693-9614

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1245068923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAPLE DR",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483631534",
            "telephone_number": "248-762-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N LAPEER ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623159",
            "telephone_number": "248-693-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANNALISE",
        "middle_name": "JOELLE",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

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