Organization Active NPI

Self Led Therapy LLC

  • Adult Mental Health Clinic/Center
  • East Lansing, MI
National Provider Identifier
1184499113
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Rachel Leeann Bentley, LPCNPI 1417360215
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.