Active NPI
Lela Stovall
- Mental Health Counselor
- Southfield, MI
National Provider Identifier
1285171561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401014828
- Practice address
- 16000 W 9 Mile Rd
Southfield, MI 48075-4808 - Phone
- (248) 802-8003
- NPI assigned
- Jan 25, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401014828 | MI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6401014828 | MI | |
| Mental Health Counselor | 101YM0800X | 6401014828 | MI | Primary |
| Professional Counselor | 101YP2500X | 6401014828 | MI |
Addresses
Primary practice location
16000 W 9 Mile Rd
Southfield, MI 48075-4808
Mailing address
16000 W 9 Mile Rd
Southfield, MI 48075-4808
Phone (248) 802-8003
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401014828 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1285171561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754808",
"telephone_number": "248-802-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754808",
"telephone_number": "248-802-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVALL",
"first_name": "LELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401014828",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6401014828",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401014828",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401014828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.