Active NPI
Damaris Joy Garcia
- Mental Health Counselor
- East Lansing, MI
National Provider Identifier
1699260067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401016821
- Practice address
- 808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322 - Phone
- (517) 575-9428
- NPI assigned
- Jun 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401019302 | MI | |
| Mental Health Counselor | 101YM0800X | 6401016821 | MI | Primary |
Addresses
Primary practice location
808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322
Mailing address
522 E Shaw St
Charlotte, MI 48813-1955
Phone (231) 675-6184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | N/A |
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 |
|---|---|---|---|
| 6401016821 | MI | MD | Mental Health Counselor |
| 6401019302 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Oaks Counseling, LLC | Current | Accepting new patients |
Locations
808 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 575-9428
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.
-
- Adult Mental Health Clinic/Center
- East Lansing, MI
- NPI 1194302786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1699260067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 E SHAW ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131955",
"telephone_number": "231-675-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W LAKE LANSING RD STE 200",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236322",
"telephone_number": "517-575-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "DAMARIS",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2022-06-09",
"certification_date": "2021-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401019302",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401016821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.