Healthcare Provider Details

I. General information

NPI: 1871004671
Provider Name (Legal Business Name): MEGAN DOREEN MENDEL LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7608 BRAMBLEWOOD DR APT 1B
LANSING MI
48917-8766
US

IV. Provider business mailing address

7608 BRAMBLEWOOD DR APT 1B
LANSING MI
48917-8766
US

V. Phone/Fax

Practice location:
  • Phone: 616-965-6685
  • Fax:
Mailing address:
  • Phone: 616-965-6685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101006731
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401018910
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401016368
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: