Individual provider Active NPI

Tayana La'Toya Holland

  • Professional Counselor
  • Lansing, MI
National Provider Identifier
1538779806
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018414 Issued in MI
Practice address
3815 W Saint Joseph St Ste A101
Lansing, MI 48917-3665
Phone
(517) 321-5900
Fax
(517) 321-5945
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 6401018414 MI Primary

Addresses

Primary practice location

3815 W Saint Joseph St Ste A101
Lansing, MI 48917-3665

Mailing address

3991 Mountain Glade Dr
Holt, MI 48842-7728
Phone (810) 624-7892

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
I20240329000392 MI Practitioner - Mental Health Counselor 2769827716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Professional Psychological ConsultantsGroup PAC ID 5193880284, 15 clinicians

Practice addresses (Care Compare)

3815 W Saint Joseph St
A101 Meridian Professional Psychological Co
Lansing, MI 48917-3665
Phone (517) 321-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401018414MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Professional Psychological Consultants CurrentSince Aug 1, 2024 Accepting new patients
Professional Psychological & Rehabilitation Services CurrentSince Aug 9, 2020 Accepting new patients

Locations

5031 Park Lake Rd
East Lansing, MI 48823
Phone (517) 332-0811

3815 W Saint Joseph St
Ste A101
Lansing, MI 48917
Phone (517) 321-5900

Organizations & group practices 3

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1538779806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 MOUNTAIN GLADE DR",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488427728",
            "telephone_number": "810-624-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 W SAINT JOSEPH ST STE A101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173665",
            "telephone_number": "517-321-5900",
            "fax_number": "517-321-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "TAYANA",
        "middle_name": "LA'TOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.