Organization Active NPI

Mid Michigan Therapy Group

  • Mental Health Counselor
  • East Lansing, MI
National Provider Identifier
1457069684
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Nov 7, 2022

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.