Active NPI
Diane Lois Stellini, MA, LPC, NCC
- Mental Health Counselor
- Waterford, MI
National Provider Identifier
1629222039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401010319
- Practice address
- 4000 W Walton Blvd Ste a
Waterford, MI 48329-4191 - Phone
- (248) 461-6266
- Fax
- (248) 791-7905
- NPI assigned
- Nov 12, 2008
- Last updated
- Mar 23, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401010319 | MI | |
| Mental Health Counselor | 101YM0800X | 6401010319 | MI | Primary |
Addresses
Primary practice location
4000 W Walton Blvd Ste a
Waterford, MI 48329-4191
Mailing address
7192 Pine Knob Rd
Clarkston, MI 48348-4824
Phone (248) 534-0866
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 W Walton Blvd
Suite B
Waterford, MI 48329-4191
Phone (248) 461-6266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010319 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelens Psychological and Counseling Services | Counselor | Current | Accepting new patients |
Locations
4000 W Walton Blvd
Ste B
Waterford, MI 48329
Phone (248) 461-6266
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1629222039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7192 PINE KNOB RD",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483484824",
"telephone_number": "248-534-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W WALTON BLVD STE A",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294191",
"telephone_number": "248-461-6266",
"fax_number": "248-791-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLINI",
"first_name": "DIANE",
"middle_name": "LOIS",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401010319",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401010319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.