Individual provider Active NPI

Lyanna Marie Leibert, M.ED., ED.S.

  • Professional Counselor
  • Rochester Hills, MI
National Provider Identifier
1275968257
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011071 Issued in MI
Practice address
455 S Livernois Rd Ste C12
Rochester Hills, MI 48307-2582
Phone
(248) 605-1860
Fax
(248) 659-1543
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 6401011071 MI Primary

Addresses

Primary practice location

455 S Livernois Rd Ste C12
Rochester Hills, MI 48307-2582

Mailing address

455 S Livernois Rd Ste C12
Rochester Hills, MI 48307-2582
Phone (248) 605-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221003133 MI Practitioner - Mental Health Counselor 7810331519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

455 S Livernois Rd
Suite C12
Rochester Hills, MI 48307-2582
Phone (248) 605-1860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6401011071MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strength and Balance Counseling, PLLC CurrentSince Dec 20, 2023 Accepting new patients

Locations

455 S Livernois Rd
Ste C12
Rochester Hills, MI 48307
Phone (248) 605-1860

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1275968257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD STE C12",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072582",
            "telephone_number": "248-605-1860",
            "fax_number": "248-659-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS RD STE C12",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072582",
            "telephone_number": "248-605-1860",
            "fax_number": "248-659-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBERT",
        "first_name": "LYANNA",
        "middle_name": "MARIE",
        "credential": "M.ED., ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.