Marcella Ann Lezotte

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451024134 Issued in MI

Practice address

15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155

Phone

(313) 744-2552

NPI assigned

Jan 3, 2025

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1528877552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "313-744-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZOTTE",
        "first_name": "MARCELLA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylon Laverne Lewis
• Laneisha Lanae Lewis, LLBSW
• Lindsey Ellen Lewis, LLPC
• Lynn Marie Lewis, MS, LPC
• Tanya Lewis, MSN, RN
• Ann Marie Liesen, LPC
• Lauren Lietaert, PMHNP
• Lifeline Center, PLLC
• John J Lim, M.D.
• Madison Lindaman, LMSW

• Counselor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.