Blue Lotus Therapy Services LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLUE LOTUS THERAPY SERVICES LLC

Practice address

711 E Grand River Ave
Brighton, MI 48116-2474

Phone

(517) 896-3592

NPI assigned

Jun 12, 2019

Last updated

Dec 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Other names 1

• Blue Lotus Therapy Services LLC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwenyth Marie Hayes, LMSW

  • Social Worker
  • Brighton, MI
  • NPI 1326416728
  Medicare reassignment NPD
• April L Pocalujka

  • Mental Health Counselor
  • Brighton, MI
  • NPI 1700126182
  Medicare reassignment NPD
• Sarah E Harrier, MS LMFT

  • Marriage & Family Therapist
  • Brighton, MI
  • NPI 1134420128
  NPD
• Erin Gajda, LPC

  • Counselor
  • Okemos, MI
  • NPI 1609244979
  NPD (past)
• Liani Hobbs, MFT

  • Mental Health Counselor
  • Okemos, MI
  • NPI 1033791546
  NPD (past)
• Yaochong Huang

  • Marriage & Family Therapist
  • Lansing, MI
  • NPI 1356100986
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1861051708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162474",
            "telephone_number": "517-896-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2167 Commons Pkwy",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643987",
            "country_code": "US",
            "telephone_number": "517-896-3592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE LOTUS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Lotus Therapy Services LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blue Lotus Therapy Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen Willard Bishop, M.D.
• BJC Foot and Ankle PC (Brighton Foot and Ankle)
• Elizabeth Jean Black, M.S.W.
• Megan Rose Blades
• Jacqueline Blair
• Brian Clark Boese, DPT
• Samantha Boggs, RBT
• Kevin John Bohnsack, M.D.
• Melanie Bondoc, MD
• Kira Boneff, MS

• Marriage & Family Therapist in Brighton, MI
• Providers in Brighton, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.