Individual provider Active NPI

Latosha A Lymon, LPC

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1831627819
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018942 Issued in MI
Practice address
29201 Telegraph Rd Ste 550
Southfield, MI 48034-7664
Phone
(517) 492-0784
Fax
(248) 213-0521
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 6401018942 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 550
Southfield, MI 48034-7664

Mailing address

14800 Rosemont Ave
Detroit, MI 48223-2341
Phone (248) 828-5330

Other practice location 1

24901 Northwestern Hwy Ste 600
Southfield, MI 48075-2210

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630003947 MI Practitioner - Mental Health Counselor 1759894058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 550
Southfield, MI 48034-7664
Phone (248) 213-0501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401018942MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Life Counseling & Consulting Services, PLC Counselor CurrentSince Feb 14, 2021 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jun 24, 2025 Accepting new patients
Daughter Status Foundation Past Accepting new patients

Locations

30150 Telegraph Rd
Ste 245
Bingham Farms, MI 48025
Phone (248) 238-1824

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 4

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1831627819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 ROSEMONT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232341",
            "telephone_number": "248-828-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 550",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347664",
            "telephone_number": "517-492-0784",
            "fax_number": "248-213-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24901 Northwestern Hwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752210",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYMON",
        "first_name": "LATOSHA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.