Individual provider Active NPI

Lisa Lynne Mitchell Carpenter, L.P.C.

  • Professional Counselor
  • Mount Pleasant, MI
National Provider Identifier
1326333667
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005318 Issued in MI
Practice address
500 S Main St
Suite B
Mount Pleasant, MI 48858-3100
Phone
(989) 773-0222
Fax
(989) 772-4241
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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 6401005318 MI Primary

Addresses

Primary practice location

500 S Main St
Suite B
Mount Pleasant, MI 48858-3100

Mailing address

500 S Main St
Suite B
Mount Pleasant, MI 48858-3100
Phone (989) 773-0222

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
I20240401002936 MI Practitioner - Mental Health Counselor 2961840624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitch PCGroup PAC ID 1153769815, 5 clinicians

Practice addresses (Care Compare)

1001 Fairfield Dr
Mount Pleasant, MI 48858-4317
Phone (989) 954-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mitch PC Professional CurrentSince Jan 13, 2024 Accepting new patients
Mt. Pleasant Community Counseling Associates, PC Professional Past Accepting new patients
Elaine Walcott LMSW PLLC Past Accepting new patients

Locations

1001 Fairfield Dr
Mt Pleasant, MI 48858
Phone (989) 954-4673

113 W Broadway St
Ste 115
Mt Pleasant, MI 48858
Phone (989) 954-4673

Organizations & group practices 3

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1326333667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583100",
            "telephone_number": "989-773-0222",
            "fax_number": "989-772-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583100",
            "telephone_number": "989-773-0222",
            "fax_number": "989-772-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL CARPENTER",
        "first_name": "LISA",
        "middle_name": "LYNNE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.