Individual provider Active NPI

Laurea Marshall, MA, LPC

  • Professional Counselor
  • Beverly Hills, MI
National Provider Identifier
1619694403
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223856 Issued in MI
Practice address
31815 Southfield Rd Ste 18
Beverly Hills, MI 48025-5471
Phone
(248) 480-0115
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401223856 MI
Professional Counselor 101YP2500X 6401223856 MI Primary

Addresses

Primary practice location

31815 Southfield Rd Ste 18
Beverly Hills, MI 48025-5471

Mailing address

23077 Greenfield Rd Ste 455
Southfield, MI 48075-3740
Phone (248) 794-6292

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LMTHERAPYWELLNESS.COM

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401223856MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LM Therapy and Wellness Professional Current Accepting new patients
Mas Counseling Services, PLLC Counselor CurrentSince Oct 30, 2022 Accepting new patients

Locations

31815 Southfield Rd
Ste 18
Beverly Hills, MI 48025
Phone (248) 480-0115

23077 Greenfield Rd
Ste 455
Southfield, MI 48075
Phone (248) 794-6292

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1619694403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 455",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753740",
            "telephone_number": "248-794-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31815 SOUTHFIELD RD STE 18",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255471",
            "telephone_number": "248-480-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LAUREA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223856",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LMTHERAPYWELLNESS.COM",
            "affiliation": "N",
            "address_1": "23077 Greenfield Rd Ste 455",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480753740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.