Active NPI
Sandra Irene Lodico, MA, LPC
- Professional Counselor
- Midland, MI
National Provider Identifier
1750440780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401003395
- Practice address
- 3788 E Marilyns LN
Midland, MI 48642-8885 - Phone
- (989) 835-8344
- Fax
- (989) 835-8344
- NPI assigned
- Dec 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401003395 | MI | Primary |
Addresses
Primary practice location
3788 E Marilyns LN
Midland, MI 48642-8885
Mailing address
3788 E Marilyns LN
Midland, MI 48642-8885
Phone (989) 835-8344
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401003395 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Counseling LLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Midland, MI
- NPI 1467511477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1750440780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3788 E MARILYNS LN",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486428885",
"telephone_number": "989-835-8344",
"fax_number": "989-835-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3788 E MARILYNS LN",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486428885",
"telephone_number": "989-835-8344",
"fax_number": "989-835-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODICO",
"first_name": "SANDRA",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401003395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.