Active NPI
Laura Messamore, LLC
- Counselor
- Lake Orion, MI
National Provider Identifier
1578311312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451023630
- Practice address
- 45 N Lapeer St
Lake Orion, MI 48362-3159 - Phone
- (248) 693-9614
- NPI assigned
- May 7, 2024
- Last updated
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451023630 | MI | Primary |
Addresses
Primary practice location
45 N Lapeer St
Lake Orion, MI 48362-3159
Mailing address
9852 Westwood Cir
Clarkston, MI 48348-5409
Phone (947) 414-3115
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023630 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Place Counseling LLC Dba Treeside Psychological Clinic | Counselor | Current | Accepting new patients |
Locations
45 N Lapeer St
Lake Orion, MI 48362
Phone (248) 693-9614
Organizations & group practices 1
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.
-
- Counselor
- Lake Orion, MI
- NPI 1588841787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1578311312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9852 WESTWOOD CIR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483485409",
"telephone_number": "947-414-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 N LAPEER ST",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483623159",
"telephone_number": "248-693-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSAMORE",
"first_name": "LAURA",
"credential": "LLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451023630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.