LAKELAND MEDICAL PRACTICES (NPI# 1124346515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124346515 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACTICES |
| Other Organization Name | CHRISTIAN COUNSELING & PSYCHOLOGICAL SERVICES |
| Practice Address |
5675 Fairview St Stevensville MI 49127-1033 |
| Practice Telephone | 2694297227 |
| Practice Fax Number | 2694295754 |
| Mailing Telephone | 2694297227 |
| Mailing Fax Number | 2694295754 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | WARREN WHITE JR. (VP PHYSICIANS PRACTICES) |
| Authorized Official Telephone | 2699838304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Christian Counseling & Psychological Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270249 | Lakeland Medical Practices | Family Medicine | 9045 Old Us 31, Suite A, Berrien Springs, MI 49103 | 2019-11-25 |
| 1407329261 | Lakeland Medical Practices | Preventive Medicine | 2500 Niles Rd Ste 4, Saint Joseph, MI 49085-3225 | 2019-01-04 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1679074470 | Lakeland Medical Practices | Clinic/Center | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2018-02-27 |
| 1174038392 | Lakeland Medical Practices | Psychiatry & Neurology | 3950 Hollywood Rd Ste 230, Saint Joseph, MI 49085-9158 | 2017-12-11 |
| 1972821460 | Lakeland Medical Practices | Clinic/Center | 42 N. St. Joseph Ave., Suite 201, Niles, MI 49120-2208 | 2010-05-10 |
| 1902462682 | Lakeland Medical Practices | Family Medicine | 3950 Hollywood Rd Ste 270, Saint Joseph, MI 49085-9158 | 2019-05-17 |
| 1710483110 | Lakeland Medical Practices | Clinic/Center | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 | 2018-04-04 |
| 1336657824 | Lakeland Medical Practices | Psychiatry & Neurology | 6559 Paw Paw Ave, Coloma, MI 49038-8805 | 2018-01-18 |
| 1164961967 | Lakeland Medical Practices | Internal Medicine | 61 N Saint Joseph Ave, Niles, MI 49120-2207 | 2017-02-14 |
| Street Address |
5675 FAIRVIEW ST |
| City | STEVENSVILLE |
| State | MI |
| Zip Code | 49127-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500243 | Mary Frank | Psychologist | 5675 Fairview St, Stevensville, MI 49127-1033 | 2006-06-27 |
| 1245899863 | Matthew Francis Benoit | Psychologist | 5675 Fairview St, Stevensville, MI 49127-1033 | 2019-06-07 |
| 1255805461 | Kara Youngblood | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2019-01-22 |
| 1760959464 | Amante Jordan Gonzalez | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2018-10-31 |
| 1417423930 | Christiana Danielle Atkins | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2018-10-23 |
| 1396081451 | Bradford Wilson | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2012-12-18 |
| 1356626253 | Mary Gilliam-andres | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2011-10-12 |
| 1982843397 | Nancy May Tripp | Social Worker | 5675 Fairview St, Stevensville, MI 49127-1033 | 2009-02-09 |
| 1144499864 | Kristine A Petlick | Psychologist | 5675 Fairview St, Stevensville, MI 49127-1033 | 2008-02-27 |
| 1740387935 | Richard A Watson | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404993 | Allison Kay Sobanski | Doula | 2802 Crownpoint Road, Stevensville, MI 49127 | 2018-07-24 |
| 1922525013 | Lavender and Sage Therapeutic Massage, LLC | Massage Therapist | 1816 West John Beers Rd, Stevensville, MI 49127 | 2017-08-29 |
| 1265962419 | Dr Melanie J Jones Optometrist PC | Optometrist | 5770 Cleveland Ave, Stevensville, MI 49127 | 2017-06-19 |
| 1417487018 | James Allen Organ | Registered Nurse | 2074 Joni Ln, Stevensville, MI 49127 | 2017-06-15 |
| 1114196086 | Tina W Latham-enix | Massage Therapist | 2634 West John Beers Rd., Stevensville, MI 49127 | 2008-02-26 |
| 1659578219 | Berrien County Cancer Service Inc | Prosthetic/Orthotic Supplier | 7301 Red Arrow Hwy, Stevensville, MI 49127 | 2007-06-28 |
| 1821207630 | Robert K Mcintyre | Psychologist | 7889 Red Arrow Hwy, Stevensville, MI 49127 | 2007-05-21 |
| 1265551642 | Carol Ann Shaver | Clinical Neuropsychologist | 5722 St Joseph Avenue, Stevensville, MI 49127 | 2007-03-28 |
| 1154431906 | James Bednar | Dentist | 5754 Red Arrow Highway, Stevensville, MI 49127 | 2006-08-30 |
| 1194830786 | David Anderson Siewert | Dentist | 5638 Cleveland Ave, Stevensville, MI 49127 | 2006-08-21 |
| Find all providers in zip 49127 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649543786 | Jeaneen Mullenhard LLC | Clinic/Center | 801 Marion Quimby Dr, Stevensville, MD 21666-2536 | 2012-02-21 |
| 1518285733 | Advanced Pain Management Specialists, LLC | Clinic/Center | 120 Sallitt Dr, Suite D, Stevensville, MD 21666-2154 | 2010-05-12 |
| 1134408420 | Jbcs Inc | Clinic/Center | 1733 W John Beers Rd, Stevensville, MI 49127-9470 | 2011-08-04 |
| 1326366816 | Lakeland Medical Practices | Clinic/Center | 5515 Cleveland Ave, Suite 5, Stevensville, MI 49127-9670 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | STEVENSVILLE |
| Zip Code | 49127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.