Organization Active NPI

Lakes Area Counseling LLC

  • Mental Health Counselor
  • Commerce Township, MI
National Provider Identifier
1851958532
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAKES AREA COUNSELING LLC
Practice address
3531 Ravinewood CT
Commerce Township, MI 48382-1648
Phone
(517) 740-0719
NPI assigned
May 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Alicia K Clement, LPCNPI 1447783113
Title
Counselor
Phone
(517) 740-0719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3531 Ravinewood CT
Commerce Township, MI 48382-1648

Mailing address

3531 Ravinewood CT
Commerce Township, MI 48382-1648
Phone (517) 740-0719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250510000077 MI Part B Supplier - Clinic/Group Practice 3577080738 Receives reassigned benefits from 1 practitioner
Practice locations: Commerce Township, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1851958532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 RAVINEWOOD CT",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483821648",
            "telephone_number": "517-740-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 RAVINEWOOD CT",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483821648",
            "telephone_number": "517-740-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "517-740-0719",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.