Vanessa Lorraine Lewis, 6401012459

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401012459 Issued in MI

Practice address

16250 Northland Dr
Southfield
Southfield, MI 48075-5205

Phone

(313) 528-1402

Fax

(313) 447-2277

NPI assigned

Jul 29, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1912315441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "SOUTHFIELD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755205",
            "telephone_number": "313-528-1402",
            "fax_number": "313-447-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "SOUTHFIELD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755205",
            "telephone_number": "313-528-1402",
            "fax_number": "313-447-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "VANESSA",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "6401012459",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIDIAN",
            "identifier": "12739692",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patresa Lynette Lewis
• Roger Lewis, M.D.
• Sarah Lewis, PT, DPT
• Shereeta Lewis
• Steven J Lewis
• Madelin Leyder
• Irene Leyrer, BCBA
• Maci Lezotte
• Tao Li, MD
• Marie D Libbey

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.