Individual provider Active NPI

Lisa Klammer, MA, LLPC, NCC

  • Professional Counselor
  • Fenton, MI
National Provider Identifier
1891218061
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016090 Issued in MI
Practice address
14165 N Fenton Rd Ste 204a
Fenton, MI 48430-1186
Phone
(810) 396-5807
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 6401016090 MI Primary

Addresses

Primary practice location

14165 N Fenton Rd Ste 204a
Fenton, MI 48430-1186

Mailing address

14090 Woodview Dr
Fenton, MI 48430-3311

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
I20240327000987 MI Practitioner - Mental Health Counselor 5395182224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14165 N Fenton Rd
Suite 1204a
Fenton, MI 48430-1128

14165 N Fenton Rd
Suite 204a
Fenton, MI 48430-1186
Phone (248) 249-1520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401016090MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Day One Counseling & Consulting, LLC CurrentSince Feb 1, 2024 Accepting new patients
J Flack PSYD PC Counselor PastSince Jun 2, 2012 Accepting new patients
Fenton Wellness Counselor Past Accepting new patients

Locations

14165 N Fenton Rd
Ste 204A
Fenton, MI 48430
Phone (810) 396-5807

14165 N Fenton Rd
Ste 102F
Fenton, MI 48430
Phone (810) 287-5169

Organizations & group practices 3

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1891218061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 WOODVIEW DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14165 N FENTON RD STE 204A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301186",
            "telephone_number": "810-396-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAMMER",
        "first_name": "LISA",
        "credential": "MA, LLPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.