Individual provider Active NPI

Isabel Teresa Severy, LPC

  • Professional Counselor
  • Saint Johns, MI
National Provider Identifier
1275028433
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401002706 Issued in MI
Practice address
1507 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone
(989) 593-0211
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401002706 MI Primary

Addresses

Primary practice location

1507 Waterford Pkwy
Saint Johns, MI 48879-9630

Mailing address

15260 Club Course Dr
Bath, MI 48808-8798
Phone (517) 896-4480

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
6401002706MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spicer Counseling Services, PLLC Professional Past Accepting new patients

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1275028433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 CLUB COURSE DR",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488088798",
            "telephone_number": "517-896-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-593-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERY",
        "first_name": "ISABEL",
        "middle_name": "TERESA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.