Active NPI
Lorin Burke
- Professional Counselor
- Southgate, MI
National Provider Identifier
1275823304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401013110
- Practice address
- 13101 Allen Rd
Southgate, MI 48195-2216 - Phone
- (734) 785-7716
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013110 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
13101 Allen Rd
Southgate, MI 48195-2216
Mailing address
17215 San Juan Dr
Detroit, MI 48221-2622
Phone (313) 808-5706
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.essmichigan@direct.mihin.net |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Change Counseling PLLC. | Mental Health | Current | Accepting new patients |
| Blue Water Healing Clinic LLC | Professional | Past | Accepting new patients |
Locations
18620 W 10 Mile Rd
Ste 130
Southfield, MI 48075
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Southfield, MI
- NPI 1275170359
-
- Professional Counselor
- Jackson, MI
- NPI 1861284267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1275823304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 SAN JUAN DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212622",
"telephone_number": "313-808-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 ALLEN RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952216",
"telephone_number": "734-785-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "LORIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013110",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.essmichigan@direct.mihin.net",
"affiliation": "N",
"address_1": "2399 E Walton Blvd",
"city": "Auburn Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483261955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.