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LAUREN LIETAERT PMHNP
NPI 1508275330
Nurse Practitioner - Psychiatric/Mental Health in Clinton Township, MI

Active since August 06, 2014PECOS Enrolled
16645 15 MILE RD, CLINTON TOWNSHIP, MI 48035(586) 213-5505(586) 213-5504 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2023, Apr 5, 2023, Jul 15, 2020 and 1 more (4 updates tracked since 2019).

About Lauren Lietaert Pmhnp NPPES

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

LAUREN LIETAERT PMHNP (NPI 1508275330) is an individual psychiatric/mental health provider in Clinton Township, Michigan, licensed in Michigan (4704267461) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508275330
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN LIETAERTCredential: PMHNP
Location Address16645 15 MILE RDClinton Township, MI 48035-2206
Mailing Address16645 15 Mile RdClinton Township, MI 48035-2206 · (586) 213-5505 · Fax (586) 213-5504
Phone(586) 213-5505
Fax(586) 213-5504
Sole ProprietorNo
Enumeration DateAugust 6, 2014
Last NPPES UpdateJanuary 18, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2024
✔ NPI 1508275330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704267461
16645 15 MILE RD, Clinton Township, MI 48035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Lietaert Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

MR. DANIEL THOMAS BUKACEL JR.
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TWP, MI 48035
Macomb County (586) 213-5505
MRS. CHRISTINA M. FELCYN MA, LPC, NCC
Counselor (Professional)
16645 15 MILE RD
CLINTON TWP, MI 48035
Macomb County (586) 765-0576
TIFFANY JEFFERS
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
MRS. WEATHERLY BURKHEAD VERHELST LLPC
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
KAREN K WEIER LPC
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
SARA KASKORKIS
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
ALL THINGS POSSIBLE WELLNESS CENTER, PLLC
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
MRS. AMY ELIZABETH CONNIFF LPC
Counselor (Mental Health)
16645 15 MILE RD
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505

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 Lauren Lietaert's NPI number?

The NPI number for Lauren Lietaert is 1508275330. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Lauren Lietaert located?

Lauren Lietaert practices at 16645 15 Mile Rd, Clinton Township, MI 48035. The listed phone number is (586) 213-5505.

What is Lauren Lietaert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Lietaert enrolled in Medicare?

Yes. Lauren Lietaert is registered in the Medicare PECOS enrollment system.

What insurance does Lauren Lietaert accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Lauren Lietaert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Lietaert was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.