Active NPI
Julia Jones Lau, PSYD LPC
- Professional Counselor
- Romeo, MI
National Provider Identifier
1720174824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401002476
- Practice address
- 280 N Main St
Romeo, MI 48065 - Phone
- (717) 813-0863
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6401002476 | MI | |
| Professional Counselor | 101YP2500X | 6401002476 | MI | Primary |
Addresses
Primary practice location
280 N Main St
Romeo, MI 48065
Mailing address
220 W Saint Clair St
Romeo, MI 48065-4661
Phone (717) 813-0863
Other practice location 1
124 West Gates
Romeo, MI 48065
Phone (586) 752-9696
Other practice location 2
220 W Saint Clair St
Romeo, MI 48065-4661
Phone (717) 813-0863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2702961918 | Other | HEALTHCARE PROVIDERS |
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 |
|---|---|---|---|
| 6401002476 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L | Current | Accepting new patients |
Locations
280 N Main St
Romeo, MI 48065
Phone (717) 813-0863
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.
-
- Community/Behavioral Health Agency
- Romeo, MI
- NPI 1962082636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1720174824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W SAINT CLAIR ST",
"city": "ROMEO",
"state": "MI",
"postal_code": "480654661",
"telephone_number": "717-813-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N MAIN ST",
"city": "ROMEO",
"state": "MI",
"postal_code": "48065",
"telephone_number": "717-813-0863"
}
],
"practiceLocations": [
{
"address_1": "124 West Gates",
"address_purpose": "LOCATION",
"city": "Romeo",
"state": "MI",
"postal_code": "48065",
"country_code": "US",
"telephone_number": "586-752-9696",
"fax_number": "586-752-9157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 W Saint Clair St",
"address_purpose": "LOCATION",
"city": "Romeo",
"state": "MI",
"postal_code": "480654661",
"country_code": "US",
"telephone_number": "717-813-0863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES LAU",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PSYD LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6401002476",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401002476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PROVIDERS",
"identifier": "2702961918",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Romeo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.