Hackley Life Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

610004 Issued in MI

Legal business name

HACKLEY LIFE COUNSELING

Practice address

125 E Southern Ave
Muskegon, MI 49442-5041

Phone

(231) 726-3582

Fax

(231) 722-6933

NPI assigned

Jan 21, 2011

Organization subpart

Yes

Parent organization

MERCY HEALTHAs reported in NPPES

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

Authorized official

Name

Sandra Klein Horsman

Title

Director

Phone

(231) 726-3582

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mercy Health Partners - Life Counseling Doing business as

Part of

Mercy Health Partners

Locations

Practitioners 6

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

• Benjamin James Newberry, PA C

  • Physician Assistant
  • Muskegon, MI
  • NPI 1376944777
  NPD
• Alison L Fox, MD

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1225052400
  NPD (past)
• Richard John Golz, M.D.

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1073515607
  NPD (past)
• Greeley G Miklashek, MD

  • Psychiatry Physician
  • Muskegon, MI
  • NPI 1962473082
  NPD (past)
• Karl F Nicles, M.D.

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1235130469
  NPD (past)
• Elizabeth Fisher Pallante, M.D.

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1053313080
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1144525288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425041",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425041",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY LIFE COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH",
        "enumeration_date": "2011-01-21",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "KLEIN HORSMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-726-3582"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "610004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OUTPATIENT PSYCHIATRIC FACILITY",
            "identifier": "0910713",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCHOLOGIST GROUP",
            "identifier": "OF11343",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SUBSTANCE ABUSE FACILITY",
            "identifier": "20363",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SOCIAL WORKER GROUP",
            "identifier": "OF10118",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health Partners - Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hackley Hospital Fiscal Services
• Hackley Hospital Fiscal Services
• Hackley Hospital Fiscal Services
• Hackley Hospital Fiscial Services
• Hackley Hosptial Fiscal Services
• Hackley Life Counseling
• Hackley Life Counseling
• Hackley Orthotics & Prosthetics
• Hackley Pharmacy Norton Shores
• Hackley Pharmacy--Apple

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.