Active NPI
Mid Michigan Therapy Group
- Mental Health Counselor
- East Lansing, MI
National Provider Identifier
1457069684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MID MICHIGAN THERAPY GROUP
- Practice address
- 808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322 - Phone
- (517) 575-9428
- NPI assigned
- Nov 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Newsome
- Title
- Biller/Credentialer
- Phone
- (517) 442-3341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322
Mailing address
808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- East Lansing, MI
- NPI 1245051713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667779200000",
"number": "1457069684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 W LAKE LANSING RD STE 200",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W LAKE LANSING RD STE 200",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236322",
"telephone_number": "517-575-9428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID MICHIGAN THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A",
"authorized_official_last_name": "NEWSOME",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "BILLER/CREDENTIALER",
"authorized_official_telephone_number": "517-442-3341"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.