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MICHAEL PROVENZANO
NPI 1225546831
Counselor - Professional in Lansing, MI

Active since January 17, 2018
913 W HOLMES RD STE 200, LANSING, MI 48910(517) 887-0226(517) 887-8121 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Provenzano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PROVENZANO (NPI 1225546831) is an individual professional provider in Lansing, Michigan, licensed in Michigan (6401012536) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1225546831
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL PROVENZANO
Location Address913 W HOLMES RD STE 200Lansing, MI 48910-0426
Mailing Address913 W Holmes Rd Ste 200Lansing, MI 48910-0426 · (517) 887-0226 · Fax (517) 887-8121
Phone(517) 887-0226
Fax(517) 887-8121
Sole ProprietorYes
Enumeration DateJanuary 17, 2018
✔ NPI 1225546831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401012536
913 W HOLMES RD STE 200, Lansing, MI 48910
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY NICOLE CARPENTER CASE MANAGER
Case Manager/Care Coordinator
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226
RAJ MALOSH PRC
Peer Specialist
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226
MARY HEBDON LLMSW
Social Worker (Clinical)
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226
NANNETTE SIMONE NORWOOD
Case Manager/Care Coordinator
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 525-6130
JENNIFER PEARSON
Peer Specialist
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226
HUNTER WALKER PEER RECOVERY COACH
Peer Specialist
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226
RANDY D HAROLD
Peer Specialist
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226
SAMANTHA LAUREN OBARSKI
Case Manager/Care Coordinator
913 W HOLMES RD STE 200
LANSING, MI 48910
Ingham County (517) 887-0226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Provenzano's NPI number?

The NPI number for Michael Provenzano is 1225546831. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Michael Provenzano located?

Michael Provenzano practices at 913 W Holmes Rd Ste 200, Lansing, MI 48910. The listed phone number is (517) 887-0226.

What is Michael Provenzano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Michael Provenzano was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.