Active NPI
Julianne Marie Fittonneville, LPC
- Mental Health Counselor
- Waterford, MI
National Provider Identifier
1932699741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401017347
- Practice address
- 4000 W Walton Blvd Ste a&B
Waterford, MI 48329 - Phone
- (248) 426-6266
- NPI assigned
- May 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401017347 | MI | |
| Mental Health Counselor | 101YM0800X | 6401017347 | MI | Primary |
Addresses
Primary practice location
4000 W Walton Blvd Ste a&B
Waterford, MI 48329
Mailing address
4000 W Walton Blvd Ste B
Waterford, MI 48329-4191
Phone (248) 461-6266
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4000 W Walton Blvd
Suite B
Waterford, MI 48329-4191
885 Penniman Ave
Unit 5425
Plymouth, MI 48170-7729
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017347 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelens Psychological and Counseling Services | Counselor | Current | Accepting new patients |
Locations
4000 W Walton Blvd
Ste B
Waterford, MI 48329
Phone (248) 461-6266
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1932699741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W WALTON BLVD STE B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294191",
"telephone_number": "248-461-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W WALTON BLVD STE A&B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48329",
"telephone_number": "248-426-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITTONNEVILLE",
"first_name": "JULIANNE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401017347",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401017347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.