Individual provider Active NPI

Michael Felix Lupinski, MA.,CCC-SLP

  • Speech-Language Pathologist
  • Bad Axe, MI
National Provider Identifier
1851541379
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00758292 Issued in MI
Practice address
110 E Huron Ave
Bad Axe, MI 48413-1313
Phone
(198) 996-3013
NPI assigned
Sep 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00758292 MI Primary

Addresses

Primary practice location

110 E Huron Ave
Bad Axe, MI 48413-1313

Mailing address

110 E Huron Ave
Suite a
Bad Axe, MI 48413-1313
Phone (198) 996-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000137 MI Practitioner - Qualified Speech Language Pathologist 3173678190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 W Huron Ave
Suite F
Bad Axe, MI 48413-1177
Phone (989) 975-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00758292MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Center Therapy LLC Speech-Language Pathologist CurrentSince Jan 29, 2021 Accepting new patients

Locations

128 W Huron Ave
Ste F
Bad Axe, MI 48413
Phone (989) 975-1965

Organizations & group practices 2

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": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1851541379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HURON AVE",
            "address_2": "SUITE A",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131313",
            "telephone_number": "198-996-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131313",
            "telephone_number": "198-996-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPINSKI",
        "first_name": "MICHAEL",
        "middle_name": "FELIX",
        "name_prefix": "Mr.",
        "credential": "MA.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "00758292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.