Active NPI
Life Renewed Counseling
- Professional Counselor
- Holt, MI
National Provider Identifier
1194454777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LIFE RENEWED COUNSELING
- Practice address
- 2481 Sanibel Holw
Holt, MI 48842-8732 - Phone
- (517) 648-7718
- NPI assigned
- Jun 8, 2022
- 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
- Cathy Gallegos
- Title
- Credentialing Manager
- Phone
- (517) 483-2461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2481 Sanibel Holw
Holt, MI 48842-8732
Mailing address
2481 Sanibel Holw
Holt, MI 48842-8732
Phone (517) 648-7718
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
- Lansing, MI
- NPI 1982831194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1194454777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2481 SANIBEL HOLW",
"city": "HOLT",
"state": "MI",
"postal_code": "488428732",
"telephone_number": "517-648-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2481 SANIBEL HOLW",
"city": "HOLT",
"state": "MI",
"postal_code": "488428732",
"telephone_number": "517-648-7718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE RENEWED COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A",
"authorized_official_last_name": "GALLEGOS",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "517-483-2461"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.