Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225546831 Individual Practitioner Male Practitioner

Michael Provenzano

Counselor - Professional • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Michael Provenzano is a registered healthcare professional specializing in Counselor - Professional in Lansing, MI. Practice services are available at 913 W HOLMES RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

913 W Holmes Rd Ste 200

Lansing, MI 489100426

Telephone 5178870226
Fax 5178878121
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
138 Specialists

Practicing in Lansing, MI (5077 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401012536

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003612961

PEERRECOVERYCOACH

NPI 1003737248

PEERRECOVERYCOACH

Tricia Daniels , CLINICAL SPECIALIST

Counselor - Addiction (Substance Use Disorder)

NPI 1013774546

CLINICALSPECIALIST

Kimberly Carpenter , CASE MANAGER

Case Manager/Care Coordinator

NPI 1043088008

CASEMANAGER

Raj Malosh , PRC

Peer Specialist

NPI 1063190874
Mary Hebdon , LLMSW

Social Worker - Clinical

NPI 1073086120

Limited Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2018

Registered at 913 W HOLMES RD STE 200, LANSING, MI 489100426 (Tel: 5178870226)

📍
Updated Business Mailing Address January 17, 2018

Registered at 913 W HOLMES RD STE 200, LANSING, MI 489100426 (Tel: 5178870226)

👤
Provider Name / Credentials Updated January 17, 2018

Recorded as MICHAEL PROVENZANO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2018

Counselor (License #6401012536 in MI)

🟢
Initial NPI Registration & Enumeration January 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Provenzano. Be the first to share your experience!

Sign in to leave a review for Michael Provenzano

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1225546831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2018
Last Update: January 17, 2018
Sole Proprietor: Yes

Mailing Address

913 W Holmes Rd Ste 200

Lansing, MI 489100426

Phone: 5178870226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.