Active NPI
Lori Ann Matheson, LLPC
- Professional Counselor
- Southfield, MI
National Provider Identifier
1740622828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401012797
- Practice address
- 29200 Northwestern Hwy Ste 110
Southfield, MI 48034-1055 - Phone
- (248) 276-8000
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401012797 | MI | Primary |
Addresses
Primary practice location
29200 Northwestern Hwy Ste 110
Southfield, MI 48034-1055
Mailing address
634 Finch CT
Walled Lake, MI 48390-3041
Phone (248) 274-4463
Other names 1
- Lori Ann Matheson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2751 E Jefferson Ave
400 Detriot
Detroit, MI 48207-4105
Phone (240) 201-3386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012797 | MI | MD | Professional Counselor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1740622828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 FINCH CT",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903041",
"telephone_number": "248-274-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29200 NORTHWESTERN HWY STE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341055",
"telephone_number": "248-276-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHESON",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401012797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "MATHESON",
"middle_name": "ANN",
"credential": "LLPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.