Organization Active NPI

Shepherds Staff Counseling Services, PLLC

  • Psychologist
  • Okemos, MI
National Provider Identifier
1720024672
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301008781 Issued in MI
Legal business name
SHEPHERDS STAFF COUNSELING SERVICES, PLLC
Practice address
4655 Dobie Rd Ste 270
Okemos, MI 48864-6909
Phone
(517) 333-6700
Fax
(517) 381-5362
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Authorized official

Name
Dr. Carolyn Sue Lucas, PH.D.NPI 1013008374
Title
Psychologist, Owner
Phone
(517) 333-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301008781 MI Primary

Addresses

Primary practice location

4655 Dobie Rd Ste 270
Okemos, MI 48864-6909

Mailing address

4655 Dobie Rd Ste 270
Okemos, MI 48864-6909
Phone (517) 333-6700

Other identifiers 2

IdentifierTypeStateIssuer
044627OtherMIBEHAVIORAL HEALTH ADMINIS
0C33276OtherMIBLUE CROSS BLUE SHIELD PR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051230000050 MI Part B Supplier - Clinic/Group Practice 3173545456 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Locations

780 W Lake Lansing Rd
Ste 600
East Lansing, MI 48823
Phone (517) 333-6700

1745 Hamilton Rd
Ste 320
Okemos, MI 48864
Phone (517) 333-6700

3887 Okemos Rd
Ste A2
Okemos, MI 48864
Phone (517) 333-6700

4655 Dobie Rd
Ste 270
Okemos, MI 48864
Phone (517) 381-5360

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756598400000",
    "number": "1720024672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 DOBIE RD STE 270",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646909",
            "telephone_number": "517-333-6700",
            "fax_number": "517-381-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 DOBIE RD STE 270",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646909",
            "telephone_number": "517-333-6700",
            "fax_number": "517-381-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS STAFF COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "517-333-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH ADMINIS",
            "identifier": "044627",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "0C33276",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.