Individual provider Active NPI

Janet Kay Vincent, LPC

  • Professional Counselor
  • Warren, MI
National Provider Identifier
1477726040
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008417 Issued in MI
Practice address
30500 Van Dyke Ave
Suite 203
Warren, MI 48093-2195
Phone
(248) 752-9160
NPI assigned
Apr 3, 2008
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008417 MI Primary

Addresses

Primary practice location

30500 Van Dyke Ave
Suite 203
Warren, MI 48093-2195

Mailing address

28641 Lathrup Blvd
Lathrup Village, MI 48076-2849
Phone (248) 752-9160

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
I20240122000643 MI Practitioner - Mental Health Counselor 4981056314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Wellness, PLC CurrentSince Jan 1, 2024 Accepting new patients
Lakeside Professional Counseling, P.C. PastSince May 4, 2021 Accepting new patients

Locations

16931 19 Mile Rd
Ste 140
Clinton Twp, MI 48038
Phone (586) 226-2822

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1477726040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28641 LATHRUP BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762849",
            "telephone_number": "248-752-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE",
            "address_2": "SUITE 203",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932195",
            "telephone_number": "248-752-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JANET",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.