Individual provider Active NPI

Laurie Clemons, LPC

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1326563263
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015555 Issued in MI
Practice address
15000 Gratiot Ave
Detroit, MI 48205-1973
Phone
(313) 245-0649
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015555 MI Primary
Professional Counselor 101YP2500X 6401017188 MI

Addresses

Primary practice location

15000 Gratiot Ave
Detroit, MI 48205-1973

Mailing address

5132 Syracuse St
Dearborn Heights, MI 48125-2139

Other practice location 1

5132 Syracuse Street
Dearborn Heights, MI 48125
Phone (248) 506-6532

Other practice location 2

44070 W 12 Mile Rd Ste 200
Novi, MI 48377-2648
Phone (248) 773-8441

Other practice location 3

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824
Phone (800) 395-3223

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
I20240624004238 MI Practitioner - Mental Health Counselor 5991248577 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015555MIMDMental Health Counselor
6401017188MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Jun 3, 2024 Accepting new patients
County of Macomb CurrentSince Jun 3, 2024 Accepting new patients
County of Macomb CurrentSince Jun 3, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jun 3, 2024 Accepting new patients

Locations

26522 Van Dyke Ave
Center Line, MI 48015
Phone (586) 759-4400

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

Organizations & group practices 4

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1326563263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 SYRACUSE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051973",
            "telephone_number": "313-245-0649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5132 Syracuse Street",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "48125",
            "country_code": "US",
            "telephone_number": "248-506-6532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44070 W 12 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772648",
            "country_code": "US",
            "telephone_number": "248-773-8441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6549 Town Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483464824",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "fax_number": "248-620-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "LAURIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015555",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.