Individual provider Active NPI

Lauren Keough

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1376166470
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100635 Issued in MI
Practice address
5340 Plymouth Rd Ste 104
Ann Arbor, MI 48105-9557
Phone
(734) 531-8044
NPI assigned
May 22, 2020
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801100635 MI Primary

Addresses

Primary practice location

5340 Plymouth Rd Ste 104
Ann Arbor, MI 48105-9557

Mailing address

9905 S Hazel St
South Lyon, MI 48178-9007
Phone (734) 531-8044

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
I20200605000384 MI Practitioner - Clinical Social Worker 0345661062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ypsi Arbor Counseling, LLCGroup PAC ID 6608264759, 2 clinicians

Practice addresses (Care Compare)

5340 Plymouth Rd
Suite 104
Ann Arbor, MI 48105-9557
Phone (734) 531-8044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100635MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ypsi Arbor Counseling, LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients
Mattioli Mental Health Clinic PLLC PastSince May 25, 2025 Accepting new patients
3 Corners Counseling Center PLLC PastSince Aug 1, 2024 Accepting new patients

Locations

5340 Plymouth Rd
Ste 104
Ann Arbor, MI 48105
Phone (734) 335-4747

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1376166470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 S HAZEL ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789007",
            "telephone_number": "734-531-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059557",
            "telephone_number": "734-531-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.