Active NPI
Stephanie Ann Farrand, LPC
- Counselor
- Grand Blanc, MI
National Provider Identifier
1790121119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401014708
- Practice address
- 8245 Holly Rd Ste 200
Grand Blanc, MI 48439-2483 - Phone
- (740) 503-1732
- NPI assigned
- May 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013543 | MI | |
| Counselor | 101Y00000X | 6401014708 | MI | Primary |
Addresses
Primary practice location
8245 Holly Rd Ste 200
Grand Blanc, MI 48439-2483
Mailing address
5222 Sunlyn Dr
Grand Blanc, MI 48439-9505
Phone (740) 503-1732
Other practice location 1
5222 Sunlyn Dr
Grand Blanc, MI 48439-9505
Phone (740) 503-1732
Other names 1
- Stephanie Ann Lucas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | . | Other |
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 |
|---|---|---|---|
| 6401013543 | MI | MD | Counselor |
| 6401014708 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1790121119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 SUNLYN DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484399505",
"telephone_number": "740-503-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8245 HOLLY RD STE 200",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392483",
"telephone_number": "740-503-1732"
}
],
"practiceLocations": [
{
"address_1": "5222 Sunlyn Dr",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484399505",
"country_code": "US",
"telephone_number": "740-503-1732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRAND",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013543",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401014708",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": ".",
"affiliation": "N",
"endpointDescription": ".",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": ".",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": ".",
"address_1": "5222 Sunlyn Dr",
"city": "Grand Blanc",
"state": "MI",
"country_code": "US",
"postal_code": "484399505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "LUCAS",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.