Sisu Michigan LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SISU MICHIGAN LLC

Practice address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Phone

(989) 403-0192

NPI assigned

Jun 5, 2022

Organization subpart

No

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

Authorized official

Name

Danyelle E Wagner, LMSW, CAADC

Title

Social Worker/ Ceo

Phone

(989) 403-0192

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danyelle Barber

  • Social Worker
  • Sterling, MI
  • NPI 1821407321
  Medicare reassignment NPD
• Amie Parkinson, LMSW

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1063864031
  NPD (past)
• Nicole Sweet, M.A. LLPC

  • Counselor
  • Bay City, MI
  • NPI 1104113679
  NPD (past)

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1972232122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 N GARFIELD RD",
            "city": "LINWOOD",
            "state": "MI",
            "postal_code": "486349759",
            "telephone_number": "989-751-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "989-403-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOCIAL WORKER/ CEO",
        "authorized_official_telephone_number": "989-403-0192",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard S Silverman, O.D.
• Steven G Simensky, MD
• Mallory May Simmons
• Alaina Simpson-Steele, TLLP
• Sip the Tea Counseling
• Sivakumar Karna Sivaraj, PHYSICAL THERAPIST
• Eshwar Sivaram
• Jennifer L Siwek, LMT
• Skillful Solutions Counseling and Consulting
• Benjamin Skole

• Mental Health Counselor in Okemos, MI
• Providers in Okemos, 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 Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.