Individual provider Active NPI

Maria Del Carmen Lizcano

  • Mental Health Counselor
  • Ypsilanti, MI
National Provider Identifier
1356808570
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
N541048 Issued in MI
Practice address
9775 Ravenshire Dr
Ypsilanti, MI 48198-3287
Phone
(517) 918-6392
NPI assigned
Feb 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X N541048 MI Primary

Addresses

Primary practice location

9775 Ravenshire Dr
Ypsilanti, MI 48198-3287

Mailing address

9775 Ravenshire Dr
Ypsilanti, MI 48198-3287
Phone (517) 918-6392

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
I20231122001033 MI Practitioner - Mental Health Counselor 3375991805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

5958 N Canton Ctr Rd
Suite 900
Canton, MI 48187-2740
Phone (734) 737-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N541048MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Jan 1, 2024 Accepting new patients
Requiescence Mental Health Current Accepting new patients

Locations

5958 N Canton Center Rd
Ste 900
Canton, MI 48187
Phone (734) 727-1200

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1356808570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 RAVENSHIRE DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983287",
            "telephone_number": "517-918-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 RAVENSHIRE DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983287",
            "telephone_number": "517-918-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZCANO",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "N541048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.