Lori Vance

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014315 Issued in MI

Practice address

30500 Van Dyke Ave
Warren, MI 48093-2195

Phone

(586) 558-6868

Fax

(586) 558-6893

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anchored Christian Counseling

  • Community/Behavioral Health Agency
  • Sterling Heights, MI
  • NPI 1417469099
  NPD Authorized official

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1669886495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932195",
            "telephone_number": "586-558-6868",
            "fax_number": "586-558-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932195",
            "telephone_number": "586-558-6868",
            "fax_number": "586-558-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Dyke Spinal Rehabilitation
• Van Dyke Spine Center
• Martha A. Vanbelle, MS, R.PH.
• Aubri Vanbrabant
• Adam Vance
• Miranda Vancoppenolle
• Katherine Vandewyngearde, LMSW
• Vandyke Pharmacy
• Kia Vang, LMT
• Eric Joseph Vanhulle, PT MPT OMPT CSCS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.