Individual provider Active NPI

Laurie K Doerner, LPC

  • Mental Health Counselor
  • Midland, MI
National Provider Identifier
1407201387
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401017596 Issued in MI
Practice address
5816 Eastman Ave
Midland, MI 48640
Phone
(989) 244-1888
Fax
(989) 321-6544
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401017596 MI Primary

Addresses

Primary practice location

5816 Eastman Ave
Midland, MI 48640

Mailing address

5816 Eastman Ave
Midland, MI 48640-6792
Phone (989) 244-1888

Other names 1

  • Laurie K Stern 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
I20240202002845 MI Practitioner - Mental Health Counselor 9335597871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Christian Counseling Inc 20 clinicians

Practice addresses (Care Compare)

5816 Eastman Ave
Midland, MI 48640-6792
Phone (989) 244-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017596MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Christian Counseling Inc Mental Health CurrentSince Jan 29, 2024 Accepting new patients

Locations

5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888

100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950

Organizations & group practices 1

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1407201387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406792",
            "telephone_number": "989-244-1888",
            "fax_number": "989-321-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-244-1888",
            "fax_number": "989-321-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERNER",
        "first_name": "LAURIE",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "STERN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.