Active NPI
Lacey Semenok, LPC
- Counselor
- Brighton, MI
National Provider Identifier
1972015626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401223303
- Practice address
- 10299 Grand River Rd Ste P
Brighton, MI 48116-9558 - Phone
- (810) 225-9550
- NPI assigned
- Nov 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401223303 | MI | Primary |
Addresses
Primary practice location
10299 Grand River Rd Ste P
Brighton, MI 48116-9558
Mailing address
10299 Grand River Rd Ste P
Brighton, MI 48116-9558
Phone (810) 225-9550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223303 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Bergbower & Associates | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Brighton, MI
- NPI 1881934206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1972015626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10299 GRAND RIVER RD STE P",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481169558",
"telephone_number": "810-225-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10299 GRAND RIVER RD STE P",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481169558",
"telephone_number": "810-225-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMENOK",
"first_name": "LACEY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401223303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.