Christy Lynn Southerland, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401010938 Issued in MI

Practice address

181 W Michigan Ave Ste 3
Paw Paw, MI 49079-1432

Phone

(269) 657-6025

Fax

(269) 657-5198

NPI assigned

Jun 27, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mapleview Consultation Center PC

  • Clinical Social Worker
  • Paw Paw, MI
  • NPI 1619022027
  NPD
• Place Counseling LLC Dba Treeside Psychological Clinic

  • Counselor
  • Lake Orion, MI
  • NPI 1588841787
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821449257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MICHIGAN AVE STE 3",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791432",
            "telephone_number": "269-657-6025",
            "fax_number": "269-657-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MICHIGAN AVE STE 3",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791432",
            "telephone_number": "269-657-6025",
            "fax_number": "269-657-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N Lapeer St",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483623159",
            "country_code": "US",
            "telephone_number": "248-693-9614",
            "fax_number": "248-693-9615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklynn Pauline Smith
• Marion Anita Smith, MA, LLPC
• Peachie Smith, PT
• Nicole Sofranko
• Alejandra Solis, PA-C
• Southwestern Michigan Emergency Services, PC
• Star Health Multi-Specialty Group PC
• Star Health Multispecialty Group P.C.
• Starhealth Multi-Specialty Group, P.C. Pharmacy
• Jeffrey Warren Stearns, RN

• Professional Counselor in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.