Individual provider Active NPI

Jocelyn Katherine Lavallee, LPC

  • Mental Health Counselor
  • Farmington, MI
National Provider Identifier
1861089328
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012002 Issued in MI
Practice address
23023 Orchard Lake Rd Ste G
Farmington, MI 48336-3267
Phone
(248) 238-8794
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012002 MI Primary

Addresses

Primary practice location

23023 Orchard Lake Rd Ste G
Farmington, MI 48336-3267

Mailing address

31675 Shiawassee Rd # B9
Farmington, MI 48336-3272
Phone (248) 568-9461

Other practice location 1

31675 Shiawassee Rd # B6
Farmington, MI 48336-3272
Phone (248) 568-9461

Other names 1

  • Jocelyn Katherine Clarke Former name

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

LicenseStateTypeSpecialty
6401012002MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Pathways Counseling Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1861089328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31675 SHIAWASSEE RD # B9",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363272",
            "telephone_number": "248-568-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23023 ORCHARD LAKE RD STE G",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363267",
            "telephone_number": "248-238-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31675 Shiawassee Rd # B6",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MI",
            "postal_code": "483363272",
            "country_code": "US",
            "telephone_number": "248-568-9461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "JOCELYN",
        "middle_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "CLARKE",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.