Individual provider Active NPI

Lavita Modest, MA, LLPC

  • Professional Counselor
  • Warren, MI
National Provider Identifier
1689059925
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
L823027 Issued in MI
Practice address
11443 E 13 Mile Rd Ste 401
Warren, MI 48093-6523
Phone
(313) 926-1683
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X L823027 MI Primary

Addresses

Primary practice location

11443 E 13 Mile Rd Ste 401
Warren, MI 48093-6523

Mailing address

11443 E 13 Mile Rd Ste 401
Warren, MI 48093-6523
Phone (313) 926-1683

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 Arts

State licenses

LicenseStateTypeSpecialty
L823027MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Working Wellness Solutions L.L.C. CurrentSince May 7, 2023 Accepting new patients

Locations

11443 E 13 Mile Rd
Ste 401
Warren, MI 48093
Phone (313) 335-7435

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1689059925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11443 E 13 MILE RD STE 401",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936523",
            "telephone_number": "313-926-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11443 E 13 MILE RD STE 401",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936523",
            "telephone_number": "313-926-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODEST",
        "first_name": "LAVITA",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L823027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.