Active NPI
Michelle Lupro
- Mental Health Counselor
- Dearborn, MI
National Provider Identifier
1831744697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NONE
- Practice address
- 835 Mason St Ste B220
Dearborn, MI 48124-2262 - Phone
- (313) 561-9064
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362009330 | MI | |
| Mental Health Counselor | 101YM0800X | NONE | Primary |
Addresses
Primary practice location
835 Mason St Ste B220
Dearborn, MI 48124-2262
Mailing address
1414 Main St
Melrose Park, IL 60160-3902
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 |
|---|---|---|---|
| 6362009330 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Modern Psychology Group,PLLC | Current | Accepting new patients |
Locations
835 Mason St
Ste B220
Dearborn, MI 48124
Phone 3135619064 ext. 102
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.
-
- Clinical Psychologist
- Dearborn, MI
- NPI 1447701255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1831744697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 MAIN ST",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601603902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 MASON ST STE B220",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242262",
"telephone_number": "313-561-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPRO",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009330",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "NONE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.