Organization Active NPI

Life Renewed Counseling Center

  • Community/Behavioral Health Agency
  • South Lyon, MI
National Provider Identifier
1083168900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7 Issued in MI
Legal business name
LIFE RENEWED COUNSELING CENTER
Practice address
303 N Lafayette St
South Lyon, MI 48178-2034
Phone
(248) 863-6748
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Richard G. Beemer, LPC
Title
Counselor
Phone
(248) 863-6748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7 MI Primary

Addresses

Primary practice location

303 N Lafayette St
South Lyon, MI 48178-2034

Mailing address

303 N Lafayette St
South Lyon, MI 48178-2034
Phone (248) 863-6748

National Provider Directory

National Provider Directory

Locations

303 N Lafayette St
South Lyon, MI 48178
Phone (208) 691-7266

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083168900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481782034",
            "telephone_number": "248-863-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481782034",
            "telephone_number": "248-863-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RENEWED COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEEMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "248-863-6748",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.