Active NPI
Lawrence Charles Stankus
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1831440551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010753
- Practice address
- 1608 Lake St
Kalamazoo, MI 49001-3170 - Phone
- (269) 344-0202
- Fax
- (269) 344-0285
- NPI assigned
- Sep 20, 2012
- Last updated
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 6401010753 | MI | Primary |
Addresses
Primary practice location
1608 Lake St
Kalamazoo, MI 49001-3170
Mailing address
1608 Lake St
Kalamazoo, MI 49001-3170
Phone (269) 344-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3402136 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 24, 2025 through Sep 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010753 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1831440551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 LAKE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490013170",
"telephone_number": "269-344-0202",
"fax_number": "269-344-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 LAKE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490013170",
"telephone_number": "269-344-0202",
"fax_number": "269-344-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKUS",
"first_name": "LAWRENCE",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3402136",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.