Individual provider Active NPI

Anna Giupponi, LMSW

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1720518194
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100766 Issued in MI
Practice address
300 Bailey St Ste 2
East Lansing, MI 48823-4444
Phone
(724) 454-9024
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801100766 MI Primary

Addresses

Primary practice location

300 Bailey St Ste 2
East Lansing, MI 48823-4444

Mailing address

216 S Jenison Ave
Lansing, MI 48915-1758
Phone (724) 454-9024

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
6801100766MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Counseling, LLC Current Accepting new patients
Premier Counseling and Wellness Institute Current Accepting new patients

Locations

330 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 281-1791

335 Seymour Ave
Ste A
Lansing, MI 48933
Phone (517) 482-2800

2510 Kerry St
Ste 200
Lansing, MI 48912
Phone (517) 273-2706

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1720518194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S JENISON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151758",
            "telephone_number": "724-454-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAILEY ST STE 2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234444",
            "telephone_number": "724-454-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUPPONI",
        "first_name": "ANNA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100766",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2020; 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.