Active NPI
Sara Labelle, M.S., LPC
- Professional Counselor
- Southgate, MI
National Provider Identifier
1629447362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401018780
- Practice address
- 19401 Northline Rd
Southgate, MI 48195-2277 - Phone
- (346) 261-1837
- NPI assigned
- Sep 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401015104 | MI | |
| Professional Counselor | 101YP2500X | 6401018780 | MI | Primary |
Addresses
Primary practice location
19401 Northline Rd
Southgate, MI 48195-2277
Mailing address
19401 Northline Rd
Southgate, MI 48195-2277
Phone (734) 626-1183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.guidance-center.org |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015104 | MI | MD | Mental Health Counselor |
| 6401018780 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1629447362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952277",
"telephone_number": "734-626-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952277",
"telephone_number": "346-261-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABELLE",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "M.S., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2020-11-20",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401015104",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401018780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.guidance-center.org",
"affiliation": "N",
"address_1": "19401 Northline Rd",
"city": "Southgate",
"state": "MI",
"country_code": "US",
"postal_code": "481952277",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.