Active NPI
Susan F Clement, LPC, NCC
- Professional Counselor
- Lapeer, MI
National Provider Identifier
1588762561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401007787
- Practice address
- 1570 Suncrest Dr
Lapeer, MI 48446-1154 - Phone
- (810) 667-0500
- NPI assigned
- Sep 21, 2006
- Last updated
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401007787 | MI | Primary |
Addresses
Primary practice location
1570 Suncrest Dr
Lapeer, MI 48446-1154
Mailing address
3318 W Sutton Rd
Lapeer, MI 48446-9812
Phone (810) 667-0500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003325 | Other | MI | MCLAREN HEALTH PLAN |
| 211705242 | Medicaid | MI | |
| 0998088 | Other | MI | HEALTH PLUS |
| 1003325 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 750910711 | Other | MI | BCBSM |
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 |
|---|---|---|---|
| 6401007787 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1588762561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 W SUTTON RD",
"city": "LAPEER",
"state": "MI",
"postal_code": "484469812",
"telephone_number": "810-667-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 SUNCREST DR",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461154",
"telephone_number": "810-667-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "SUSAN",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401007787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1003325",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211705242",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0998088",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1003325",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "750910711",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.