Active NPI
Lorna Denise Cheatham
- Mental Health Counselor
- Canton, MI
National Provider Identifier
1437451630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AF820287622
- Practice address
- 481 Virginia CT
Canton, MI 48187-3973 - Phone
- (734) 777-3914
- NPI assigned
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AF820287622 | MI | Primary |
| Mental Health Counselor | 101YM0800X | AS820283908 | MI |
Addresses
Primary practice location
481 Virginia CT
Canton, MI 48187-3973
Mailing address
481 Virginia CT
Canton, MI 48187-3973
Phone (734) 777-3914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF820287622 | MI | MD | Mental Health Counselor |
| AS820283908 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Alternative Residential Services, Inc | Current | Accepting new patients | |
| Sure Care Enterprises, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1619242013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1437451630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 VIRGINIA CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481873973",
"telephone_number": "734-777-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 VIRGINIA CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481873973",
"telephone_number": "734-777-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "LORNA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "AF820287622",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "AS820283908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.