Active NPI
Sabrina Lavengood, LPC
- Mental Health Counselor
- Grandville, MI
National Provider Identifier
1679106769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401018081
- Practice address
- 2845 44TH St SW Ste 120
Grandville, MI 49418-2678 - Phone
- (616) 710-1295
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401018081 | MI | Primary |
Addresses
Primary practice location
2845 44TH St SW Ste 120
Grandville, MI 49418-2678
Mailing address
2845 44TH St SW Ste 120
Grandville, MI 49418-2678
Phone (616) 710-1295
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | (616)805-4839 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401018081 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1679106769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 44TH ST SW STE 120",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182678",
"telephone_number": "616-710-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 44TH ST SW STE 120",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182678",
"telephone_number": "616-710-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVENGOOD",
"first_name": "SABRINA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401018081",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "(616)805-4839",
"affiliation": "N",
"endpointDescription": "faxnumber",
"address_1": "2845 44th St SW Ste 120",
"city": "Grandville",
"state": "MI",
"country_code": "US",
"postal_code": "494182678",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.