Julie Marie Sorenson, L.L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401012480 Issued in MI

Practice address

1611 W Centre Ave Ste 200
Portage, MI 49024-5393

Phone

(269) 447-1480

NPI assigned

Nov 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teletherapy Group LLCGroup PAC ID 6800134677, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Teletherapy Group, LLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1831628379
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1629313754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-447-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-447-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "L.L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. Soltysiak, D.O.
• Stephanie Somers, M.D.
• Lisa Sonday, MSW, LMSW, CAADC
• Sonder Psychology and Counseling, LLC
• Fiona Song
• Ismael Hiram Soto Rivas, M.D.
• Traci Ann Soule, CTRS
• South Michigan Psychiatric Services LLC
• South Michigan Psychiatric Services LLC
• Lindsay Page South, MA

• Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.

Verify at the official NPI Registry.