Individual provider Active NPI

Sara Suzanne Griffin, LCPC, LPC

  • Professional Counselor
  • Flint, MI
National Provider Identifier
1578697744
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012931 Issued in MI
Practice address
3600 S Dort Hwy
Suite 44
Flint, MI 48507-2093
Phone
(810) 744-3300
Fax
(810) 744-1090
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.005632 IL
Professional Counselor 101YP2500X 6401012931 MI Primary

Addresses

Primary practice location

3600 S Dort Hwy
Suite 44
Flint, MI 48507-2093

Mailing address

3600 S Dort Hwy
Suite 44
Flint, MI 48507-2093
Phone (810) 744-3300

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
I20240117002048 MI Practitioner - Mental Health Counselor 0345692125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Womens Center of Southeastern MichiganGroup PAC ID 7618298696, 9 clinicians

Practice addresses (Care Compare)

1100 Victors Way
Suite 10
Ann Arbor, MI 48108-5220
Phone (734) 973-6779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.005632ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Counseling Associates, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1578697744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S DORT HWY",
            "address_2": "SUITE 44",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072093",
            "telephone_number": "810-744-3300",
            "fax_number": "810-744-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S DORT HWY",
            "address_2": "SUITE 44",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072093",
            "telephone_number": "810-744-3300",
            "fax_number": "810-744-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SARA",
        "middle_name": "SUZANNE",
        "credential": "LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005632",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.