Active NPI
Lakeview Counseling P.C.
- Community/Behavioral Health Agency
- Traverse City, MI
National Provider Identifier
1316009012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LAKEVIEW COUNSELING P.C.
- Practice address
- 1844 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5924 - Phone
- (231) 929-0300
- Fax
- (231) 933-6378
- NPI assigned
- Dec 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol Ann Murray, MSW
- Title
- Director
- Phone
- (231) 929-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1844 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5924
Mailing address
1844 Oak Hollow Dr
Suite B
Traverse City, MI 49686-5924
Phone (231) 929-0300
Other names 1
- Lakeview Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040121000012 | MI | Part B Supplier - Clinic/Group Practice | 5597667683 |
Receives reassigned benefits from 9 practitioners Practice locations: Traverse City, MI |
National Provider Directory
National Provider DirectoryLocations
3600 Veterans Dr
Ste 3
Traverse City, MI 49684
Phone (231) 360-8625
333 W Grandview Pkwy
Ste 403
Traverse City, MI 49684
Phone (231) 929-0300
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1255401287
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1154419547
-
- Counselor
- Traverse City, MI
- NPI 1093871717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306108800000",
"number": "1316009012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 OAK HOLLOW DR",
"address_2": "SUITE B",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496865924",
"telephone_number": "231-929-0300",
"fax_number": "231-933-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 OAK HOLLOW DR",
"address_2": "SUITE B",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496865924",
"telephone_number": "231-929-0300",
"fax_number": "231-933-6378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW COUNSELING P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-16",
"last_updated": "2011-05-23",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "231-929-0300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeview Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.