Jennifer Lichtman, CAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C-02988 Issued in MI

Practice address

25200 Kelly Rd
Roseville, MI 48066-4473

Phone

(586) 422-1250

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelly Otp LLC

  • Methadone Clinic
  • Roseville, MI
  • NPI 1265150767

  Addiction (Substance Use Disorder)

  NPD
• Collaborative Counseling and Consultation Services, LLC

  • Community/Behavioral Health Agency
  • Farmington Hills, MI
  • NPI 1447537618
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1871868638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26703 PARKINGTON ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664029",
            "telephone_number": "248-662-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664473",
            "telephone_number": "586-422-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTMAN",
        "first_name": "JENNIFER",
        "credential": "CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misha Lemons
• Kaitlin Patricia Leonard-Murali, MA, LLPC
• Terri Leonard
• Michelene Riley Lepczyk, D.D.S.
• Daniel A Lepri, DDS
• Julie Liedel
• Cody Ling
• Lisa a. Price D.C.P.C.
• Little Mack Pharmacy LLC (ADS - Roseville)
• Live Rite Structured Recovery Corp

• Addiction (Substance Use Disorder) Counselor in Roseville, MI
• Providers in Roseville, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.