LAUREN LIETAERT (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508275330

LAUREN LIETAERT (PMHNP) is a healthcare provider. based in Clinton township, Michigan. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP. They hold a License No. 4704267461 (MI). The NPI Number for LAUREN LIETAERT (PMHNP) is 1508275330

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN LIETAERT (PMHNP)
NPI
1508275330
Phone
(586) 213-5505
Address
16645 15 MILE RD
Enumeration Date
6 August 2014
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344513440
Graduation Year
2013 (13 years ago)
PAC ID
1850614355
Group Practice PAC ID
0446211676
Professional Enrollment ID
I20150107001877

Contacts

Other Endpoint
Plymouth
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

Provider Addresses for LAUREN LIETAERT (PMHNP)

  • 16645 15 MILE RD

    CLINTON TOWNSHIP, MI 480352206

    Phone: (586) 213-5505

    Fax: (586) 213-5504

    Type: Mailing

  • 1365 S MAIN ST

    PLYMOUTH, MI 481702217

    Phone:

    Type: Mailing

  • 35031 23 MILE ROAD

    NEW BALTIMORE, MI 48047

    Phone: (586) 321-6985

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($152).

Total Amount

$166

General + Research + Ownership

Payments

8

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$152
Corium, LLC$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446211676View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
-MI
-MI
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How is LAUREN LIETAERT (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists LAUREN LIETAERT (PMHNP) with NPI 1508275330.
Does CMS list LAUREN LIETAERT (PMHNP) as active?
Yes — LAUREN LIETAERT (PMHNP) is active in the NPI listing used on this page.
What taxonomy line describes LAUREN LIETAERT (PMHNP)?
For research purposes, treat LAUREN LIETAERT (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for LAUREN LIETAERT (PMHNP)?
LAUREN LIETAERT (PMHNP)'s geographic hint is Clinton Township, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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