Active NPI
Michael Felix Lupinski, MA.,CCC-SLP
- Speech-Language Pathologist
- Bad Axe, MI
National Provider Identifier
1851541379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00758292
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00758292 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Center Therapy LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Bad Axe, MI
- NPI 1912578980
MI, Speech-Language Pathologist
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.