Individual provider Active NPI

Lisa Marian Kalinski, MA, LLPC

  • Professional Counselor
  • Davisburg, MI
National Provider Identifier
1336157403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009336 Issued in MI
Practice address
12850 Fountain SQ
Ste. 106
Davisburg, MI 48350-2552
Phone
(248) 634-6303
Fax
(248) 634-1746
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6401009336 MI Primary

Addresses

Primary practice location

12850 Fountain SQ
Ste. 106
Davisburg, MI 48350-2552

Mailing address

12850 Fountain SQ
Ste. 106
Davisburg, MI 48350-2552
Phone (248) 634-6303

Other names 1

  • Miss Lisa Marian Witkowski Former name

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
I20240224000066 MI Practitioner - Mental Health Counselor 5092150557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Jan 13, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jan 13, 2024 Accepting new patients
Ismail B Sendi MD, PC Past Accepting new patients
Ismail B. Sendi, MD, PC Past Accepting new patients
Ismail B. Sendi, MD, PC Past Accepting new patients

Locations

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

12850 Fountain Square
Ste 106
Davisburg, MI 48350
Phone (248) 634-6303

29550 5 Mile Rd
Livonia, MI 48154
Phone (734) 422-9340

31500 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 422-9340

2300 Jolly Oak Rd
Okemos, MI 48864
Phone (517) 679-2050

Organizations & group practices 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336157403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 FOUNTAIN SQ",
            "address_2": "STE. 106",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502552",
            "telephone_number": "248-634-6303",
            "fax_number": "248-634-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 FOUNTAIN SQ",
            "address_2": "STE. 106",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502552",
            "telephone_number": "248-634-6303",
            "fax_number": "248-634-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINSKI",
        "first_name": "LISA",
        "middle_name": "MARIAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WITKOWSKI",
            "middle_name": "MARIAN",
            "prefix": "MISS",
            "credential": "MA, LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davisburg, MI

Sources for this page

Verify at the official NPI Registry.