Organization Active NPI

Lifes Pace Counseling LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1023989902
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFES PACE COUNSELING LLC
Practice address
2215 Oak Industrial Dr NE Ste 209
Grand Rapids, MI 49505-6037
Phone
(616) 288-1556
Fax
(616) 288-1556
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Smith, LMSWNPI 1679816359
Title
Practice Owner
Phone
(616) 288-1556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2215 Oak Industrial Dr NE Ste 209
Grand Rapids, MI 49505-6037

Mailing address

2215 Oak Industrial Dr NE Ste 209
Grand Rapids, MI 49505-6037
Phone (616) 288-1556

National Provider Directory

National Provider Directory

Locations

2215 Oak Industrial Dr NE
Ste 209
Grand Rapids, MI 49505
Phone (269) 340-1116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1023989902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 OAK INDUSTRIAL DR NE STE 209",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056037",
            "telephone_number": "616-288-1556",
            "fax_number": "616-288-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 OAK INDUSTRIAL DR NE STE 209",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056037",
            "telephone_number": "616-288-1556",
            "fax_number": "616-288-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES PACE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "616-288-1556",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.