Individual provider Active NPI

Lawrence Michael Zolman, LPC

  • Counselor
  • Jackson, MI
National Provider Identifier
1407938889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401010101 Issued in MI
Practice address
2301 E Michigan Ave
Ste. 215C
Jackson, MI 49202-3700
Phone
(517) 936-7580
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

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
Counselor 101Y00000X 6401010101 MI Primary

Addresses

Primary practice location

2301 E Michigan Ave
Ste. 215C
Jackson, MI 49202-3700

Mailing address

2301 E Michigan Ave
Ste. 215C
Jackson, MI 49202-3700
Phone (517) 936-7580

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
I20241015001473 MI Practitioner - Mental Health Counselor 1951712983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 W Michigan Ave
Jackson, MI 49202-4022
Phone (734) 408-1682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Counseling CurrentSince Feb 25, 2020 Accepting new patients

Locations

1401 W Michigan Ave
Jackson, MI 49202
Phone (734) 408-1682

Interoperability endpoints

  • Direct secure messaging: lzolman454961@direct.hfhs.org

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407938889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E MICHIGAN AVE",
            "address_2": "STE. 215C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023700",
            "telephone_number": "517-936-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E MICHIGAN AVE",
            "address_2": "STE. 215C",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023700",
            "telephone_number": "517-936-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLMAN",
        "first_name": "LAWRENCE",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.