Active NPI
Ian Kubiak
- Professional Counselor
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401224637
- Practice address
- 2970 E Lake Lansing Rd
East Lansing, MI 48823-7415 - Phone
- (517) 230-5695
- NPI assigned
- Apr 2, 2013
- Sex
- Male
- 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 | 6401224637 | MI | Primary |
Addresses
Primary practice location
2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Mailing address
812 E Jolly Rd
Suite 210
Lansing, MI 48910-6818
Phone (517) 346-8200
Other practice location 1
201 W Railroad St Ste A
Saint Johns, MI 48879-1513
Phone (989) 224-6729
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, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
812 E Jolly Rd
Suite 210
Lansing, MI 48910-6821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401224637 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Authority of Clinton Eaton Ingham Counties | Current | Accepting new patients | |
| Genoa Healthcare LLC | Past | Accepting new patients |
Locations
228 S Cochran Ave
Charlotte, MI 48813
Phone (517) 543-5100
812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162
812 E Jolly Rd
Ste 216
Lansing, MI 48910
Phone (517) 346-9525
812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162
606 W Shiawassee St
Lansing, MI 48933
Phone (517) 371-2077
201 W Railroad St
Ste A
Saint Johns, MI 48879
Phone (989) 224-5300
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lansing, MI
- NPI 1265483457
-
- Long Term Care Pharmacy
- Lansing, MI
- NPI 1881683266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1790028330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 E JOLLY RD",
"address_2": "SUITE 210",
"city": "LANSING",
"state": "MI",
"postal_code": "489106818",
"telephone_number": "517-346-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 E LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488237415",
"telephone_number": "517-230-5695"
}
],
"practiceLocations": [
{
"address_1": "201 W Railroad St Ste A",
"address_purpose": "LOCATION",
"city": "Saint Johns",
"state": "MI",
"postal_code": "488791513",
"country_code": "US",
"telephone_number": "989-224-6729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUBIAK",
"first_name": "IAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401224637",
"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 Feb 25, 2026; 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.