Individual provider Active NPI

Damaris Joy Garcia

  • Mental Health Counselor
  • East Lansing, MI
National Provider Identifier
1699260067
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401016821 Issued in MI
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

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000OtherN/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

LicenseStateTypeSpecialty
6401016821MIMDMental Health Counselor
6401019302MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Oaks Counseling, LLC CurrentSince Apr 1, 2021 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.

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.

Verify at the official NPI Registry.