Active NPI
Self Led Therapy LLC
- Adult Mental Health Clinic/Center
- East Lansing, MI
National Provider Identifier
1184499113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SELF LED THERAPY LLC
- Practice address
- 2970 E Lake Lansing Rd
East Lansing, MI 48823-7415 - Phone
- (810) 513-4976
- NPI assigned
- Nov 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Leeann Bentley, LPC
- Title
- Ceo/Owner
- Phone
- (810) 513-4976
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Mailing address
5966 Harper Rd
Holt, MI 48842-8618
Phone (810) 513-4976
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- East Lansing, MI
- NPI 1417360215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1184499113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5966 HARPER RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488428618",
"telephone_number": "810-513-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 E LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488237415",
"telephone_number": "810-513-4976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELF LED THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "LEEANN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "810-513-4976",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.