LAKE ORION COUNSELING CENTER (NPI# 1255759486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255759486 |
| Entity Type | Organization |
| Organization Name | LAKE ORION COUNSELING CENTER |
| Other Organization Name | LAKE ORION COUNSELING CENTER |
| Practice Address |
3604 Clarkston Rd Clarkston MI 48348-5215 |
| Mailing Address |
3287 Woodview Cir Lake Orion MI 48362-2068 |
| Practice Telephone | 2485959969 |
| Practice Fax Number | 2488140361 |
| Mailing Telephone | 2488079894 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | DR. ADAM ROSS PASCIAK (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2488079894 |
| Authorized Official Credential | PHD, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015095 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 6301015095 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Orion Counseling Center | Doing Business As Name - Organization |
| Street Address |
3604 CLARKSTON RD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548569049 | Adam R Pasciak | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2011-03-23 |
| 1699380469 | Deanna Martens | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2020-09-09 |
| 1699251769 | Allen Shamow | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2018-07-12 |
| 1083125017 | Elizabeth Therese Kreager | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-10-17 |
| 1851826879 | Maria E Summerford | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-04-27 |
| 1841672987 | Karyn Skiba | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348 | 2015-06-25 |
| 1184045676 | Tiffany Marie Laporte | Student in an Organized Health Care Education/Training Program | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-12-30 |
| 1225465396 | Life Skills Rehabilitation | Occupational Therapist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2013-10-03 |
| 1821337635 | Denise Fanny Banyai | Counselor | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-02-14 |
| 1801161286 | Kristen Kay Bernat | Counselor | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2012-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649693243 | Paul Vanheulen I | Psychologist | 6469 Snow Apple Dr, Clarkston, MI 48346-2455 | 2014-02-03 |
| 1497091565 | Eric E Craig | Psychologist | 132 S River Dr, Clarkston, MI 48346-4151 | 2012-12-18 |
| 1316178049 | Chanda Lynne Pilgrim | Psychologist | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2009-07-29 |
| 1760673909 | Karen Marie Rusniak | Psychologist | 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346-5105 | 2007-08-05 |
| 1700999018 | Beverly Hartman | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2006-08-17 |
| 1922035286 | Joseph C. Shoots | Psychologist | 6548 Town Center Dr, Clarkston, MI 48346-4823 | 2006-06-26 |
| 1679553028 | John C Scharfenkamp | Psychologist | 8010 Deerwood Rd, Clarkston, MI 48348-4526 | 2006-01-20 |
| 1285231266 | Bethany A Hall | Psychologist | 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 | 2020-10-03 |
| 1639617426 | Chelsea Kneip | Psychologist | 6548 Town Center Dr, Suite D, Clarkston, MI 48346-4823 | 2017-02-01 |
| 1356893812 | Kara Herrick | Psychologist | 6548 Town Center Dr, Clarkston, MI 48346-4823 | 2016-11-01 |
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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.