Individual provider Active NPI

Lauren Keyandwy, MA, LPC

  • Counselor
  • Milford, MI
National Provider Identifier
1518564731
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401222496 Issued in MI
Practice address
1800 N Milford Rd Ste 100
Milford, MI 48381-1047
Phone
(810) 869-6277
NPI assigned
Oct 1, 2020
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401222496 MI Primary

Addresses

Primary practice location

1800 N Milford Rd Ste 100
Milford, MI 48381-1047

Mailing address

1800 N Milford Rd Ste 100
Milford, MI 48381-1047
Phone (810) 869-6277

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401222496MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1518564731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N MILFORD RD STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811047",
            "telephone_number": "810-869-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N MILFORD RD STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811047",
            "telephone_number": "810-869-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYANDWY",
        "first_name": "LAUREN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401222496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.