Individual provider Active NPI

Annette Lynne Ladell, LLC, LSC

  • Professional Counselor
  • Lapeer, MI
National Provider Identifier
1821848037
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451023588 Issued in MI
Practice address
550 S Saginaw St
Lapeer, MI 48446-2645
Phone
(810) 660-8686
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451023588 MI Primary

Addresses

Primary practice location

550 S Saginaw St
Lapeer, MI 48446-2645

Mailing address

148 Saber Way
Lake Orion, MI 48362-3372
Phone (734) 255-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6451023588MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Consulting & Mental Health Services, LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

550 S Saginaw St
Lapeer, MI 48446
Phone (810) 255-0888

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1821848037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SABER WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623372",
            "telephone_number": "734-255-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S SAGINAW ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462645",
            "telephone_number": "810-660-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADELL",
        "first_name": "ANNETTE",
        "middle_name": "LYNNE",
        "credential": "LLC, LSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.