Individual provider Active NPI

Lisa Banks, LPC

  • Professional Counselor
  • Bingham Farms, MI
National Provider Identifier
1710644687
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223889 Issued in MI
Practice address
31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321
Phone
(248) 929-5485
NPI assigned
Nov 26, 2021
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451021957 MI
Professional Counselor 101YP2500X 6401223889 MI Primary

Addresses

Primary practice location

31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321

Mailing address

31000 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4321
Phone (313) 218-1375

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
I20240812002652 MI Practitioner - Mental Health Counselor 7315485133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Earth ProjectGroup PAC ID 2860850237, 2 clinicians

Practice addresses (Care Compare)

34441 8 Mile Rd
Suite 116
Livonia, MI 48152-4013
Phone (734) 469-0513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451021957MIMDMental Health Counselor
6401223889MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
On Earth Project CurrentSince Aug 1, 2024 Accepting new patients
Stars and Scars Counseling Services, LLC CurrentSince May 12, 2024 Accepting new patients

Locations

4081 Cascade Rd SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 319-1978

34441 8 Mile Rd
Ste 116
Livonia, MI 48152
Phone (248) 615-1533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1710644687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254321",
            "telephone_number": "313-218-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254321",
            "telephone_number": "248-929-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451021957",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.