Lauren Lietaert, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704267461 Issued in MI

Practice address

16645 15 Mile Rd
Clinton Township, MI 48035-2206

Phone

(586) 213-5505

Fax

(586) 213-5504

NPI assigned

Aug 6, 2014

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lauren Lietaert LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton Township, MI
  • NPI 1528829447
  NPD Authorized official
• All Things Possible Wellness Center, PLLC

  • Mental Health Counselor
  • Clinton Township, MI
  • NPI 1295105575
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1508275330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352206",
            "telephone_number": "586-213-5505",
            "fax_number": "586-213-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352206",
            "telephone_number": "586-213-5505",
            "fax_number": "586-213-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIETAERT",
        "first_name": "LAUREN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704267461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ellen Lewis, LLPC
• Lynn Marie Lewis, MS, LPC
• Tanya Lewis, MSN, RN
• Marcella Ann Lezotte
• Ann Marie Liesen, LPC
• Lifeline Center, PLLC
• John J Lim, M.D.
• Madison Lindaman, LMSW
• Erika Lindgren, LPC
• Diane Nelles Lindsay, ED.S.

• Psychiatric/Mental Health Nurse Practitioner in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.