Individual provider Active NPI

Lisa Livingston, LLPC

  • Professional Counselor
  • Tecumseh, MI
National Provider Identifier
1710529540
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017670 Issued in MI
Practice address
5336 N Raisin Center Hwy
Tecumseh, MI 49286-9580
Phone
(734) 637-6703
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 6401017670 MI Primary

Addresses

Primary practice location

5336 N Raisin Center Hwy
Tecumseh, MI 49286-9580

Mailing address

5336 N Raisin Center Hwy
Tecumseh, MI 49286-9580
Phone (734) 637-6703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000603 MI Practitioner - Mental Health Counselor 3971024555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenawee Community Mental Health AuthorityGroup PAC ID 7214828177, 8 clinicians

Practice addresses (Care Compare)

1200 N Main St
Adrian, MI 49221-1759
Phone (517) 263-8905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017670MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jan 31, 2025 Accepting new patients
Lenawee Community Mental Health Authority CurrentSince May 1, 2025 Accepting new patients
Lenawee Community Mental Health Authority PastSince May 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

1040 S Winter St
Ste 1022
Adrian, MI 49221
Phone (517) 263-8905

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

Organizations & group practices 3

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1710529540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 N RAISIN CENTER HWY",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492869580",
            "telephone_number": "734-637-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 N RAISIN CENTER HWY",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492869580",
            "telephone_number": "734-637-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.