Individual provider Active NPI

Vesna Lagumdzija-Srkalovic, LPC, CAADC

  • Professional Counselor
  • Lansing, MI
National Provider Identifier
1447503438
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
L1778721 Issued in MI
Practice address
913 W Holmes Rd
Lansing, MI 48910-0426
Phone
(517) 272-4357
Fax
(517) 272-4358
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X O-01758 MI
Professional Counselor 101YP2500X L1778721 MI Primary

Addresses

Primary practice location

913 W Holmes Rd
Lansing, MI 48910-0426

Mailing address

913 W Holmes Rd
Lansing, MI 48910-0426
Phone (517) 272-4357

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

LicenseStateTypeSpecialty
O-01758MIMDAddiction (Substance Use Disorder) Counselor
L1778721MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1447503438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100426",
            "telephone_number": "517-272-4357",
            "fax_number": "517-272-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100426",
            "telephone_number": "517-272-4357",
            "fax_number": "517-272-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUMDZIJA-SRKALOVIC",
        "first_name": "VESNA",
        "name_prefix": "Mrs.",
        "credential": "LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "O-01758",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1778721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.