Active NPI
Mary Margaret Wysocki, MA, LPC
- Mental Health Counselor
- Oxford, MI
National Provider Identifier
1316184864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401002634
- Practice address
- 1450 S Lapeer Rd
Oxford, MI 48371-6108 - Phone
- (248) 969-9932
- Fax
- (248) 969-0950
- NPI assigned
- Jan 20, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401002634 | MI | Primary |
| Social Worker | 104100000X | 6802046814 | IN |
Addresses
Primary practice location
1450 S Lapeer Rd
Oxford, MI 48371-6108
Mailing address
1450 S Lapeer Rd
Oxford, MI 48371-6108
Phone (248) 969-9932
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401002634 | MI | MD | Mental Health Counselor |
| 6802046814 | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1316184864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 S LAPEER RD",
"city": "OXFORD",
"state": "MI",
"postal_code": "483716108",
"telephone_number": "248-969-9932",
"fax_number": "248-969-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S LAPEER RD",
"city": "OXFORD",
"state": "MI",
"postal_code": "483716108",
"telephone_number": "248-969-9932",
"fax_number": "248-969-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSOCKI",
"first_name": "MARY",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401002634",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "6802046814",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.