Individual provider Active NPI

Linda Barbara Spaine, LPC

  • Professional Counselor
  • Swartz Creek, MI
National Provider Identifier
1881203651
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017319 Issued in MI
Practice address
6199 Miller Rd Ste a
Swartz Creek, MI 48473-1585
Phone
(810) 207-5759
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401017319 MI Primary

Addresses

Primary practice location

6199 Miller Rd Ste a
Swartz Creek, MI 48473-1585

Mailing address

6199 Miller Rd Ste a
Swartz Creek, MI 48473-1585
Phone (248) 470-5791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808003913 MI Practitioner - Mental Health Counselor 7618414558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017319MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Purposeful Intentions Counseling Center, PLLC CurrentSince May 9, 2024 Accepting new patients
Balance Life Counseling PLLC PastSince Aug 1, 2020 Accepting new patients

Locations

6199 Miller Rd
Ste A
Swartz Creek, MI 48473
Phone (810) 207-5759

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1881203651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "248-470-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-207-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAINE",
        "first_name": "LINDA",
        "middle_name": "BARBARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swartz Creek, MI

Sources for this page

Verify at the official NPI Registry.