Individual provider Active NPI

Valerie Hathaway, LLP

  • Psychologist
  • East Lansing, MI
National Provider Identifier
1255923850
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361007896 Issued in MI
Practice address
612 W Lake Lansing Rd Ste 400
East Lansing, MI 48823-8528
Phone
(517) 337-6545
Fax
(517) 337-3010
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361007896 MI Primary

Addresses

Primary practice location

612 W Lake Lansing Rd Ste 400
East Lansing, MI 48823-8528

Mailing address

612 W Lake Lansing Rd Ste 400
East Lansing, MI 48823-8528
Phone (517) 337-6545

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
6361007896MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1255923850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-337-6545",
            "fax_number": "517-337-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W LAKE LANSING RD STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238528",
            "telephone_number": "517-337-6545",
            "fax_number": "517-337-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "VALERIE",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.