Organization Active NPI

L

  • Community/Behavioral Health Agency
  • Romeo, MI
National Provider Identifier
1962082636
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
L
Practice address
280 N Main St
Romeo, MI 48065-4621
Phone
(717) 813-0863
Fax
(586) 752-2736
NPI assigned
Apr 8, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Julia Jones-Lau, LPCNPI 1720174824
Title
Counselor/Owner
Phone
(717) 813-0863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

280 N Main St
Romeo, MI 48065-4621

Mailing address

220 W Saint Clair St
Romeo, MI 48065-4661
Phone (717) 813-0863

National Provider Directory

National Provider Directory

Locations

280 N Main St
Romeo, MI 48065
Phone (717) 813-0863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1962082636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W SAINT CLAIR ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654661",
            "telephone_number": "717-813-0863",
            "fax_number": "586-752-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654621",
            "telephone_number": "717-813-0863",
            "fax_number": "586-752-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "JONES-LAU",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "717-813-0863",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.