Dana J La Bar, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401001851 Issued in MI

Practice address

1033 W Huron Ave
Rogers City, MI 49779-1428

Phone

(998) 734-2052

Fax

(989) 734-7390

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552

  MI

  Medicare reassignment
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Rogers City, MI
  • NPI 1609435536
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1992356083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-354-2197",
            "fax_number": "989-354-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W HURON AVE",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791428",
            "telephone_number": "998-734-2052",
            "fax_number": "989-734-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA BAR",
        "first_name": "DANA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401001851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Arthur Kelley, PTA
• Angela Judith Kelly, LMT
• Tricia Kowalski, OTRL
• Robert Bruce Kromer, PT
• Arika L Kunath, P.T.
• Lakeside Language LLC
• Nikkie J Lalonde-Viegelahn, OD
• Lesley Lalonde
• Cody Michael Lawnichak, PA-C
• Rachel Leckrone

• All providers in Rogers City, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.