Organization Active NPI

New Beginning Therapy Services, LLC

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1225373475
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085790 Issued in MI
Legal business name
NEW BEGINNING THERAPY SERVICES, LLC
Practice address
420 S Waverly Rd
Ste 4
Lansing, MI 48917-3632
Phone
(517) 708-8215
Fax
(517) 708-8223
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mrs. Kathy Samir Chebli, LMSWNPI 1801943162
Title
Clinical Social Worker
Phone
(517) 708-8215

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085790 MI Primary

Addresses

Primary practice location

420 S Waverly Rd
Ste 4
Lansing, MI 48917-3632

Mailing address

420 S Waverly Rd
Ste 4
Lansing, MI 48917-3632
Phone (517) 708-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130702000429 MI Part B Supplier - Clinic/Group Practice 7517107113 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

420 S Waverly Rd
Ste 4
Lansing, MI 48917
Phone (517) 708-8215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1225373475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S WAVERLY RD",
            "address_2": "STE 4",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173632",
            "telephone_number": "517-708-8215",
            "fax_number": "517-708-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S WAVERLY RD",
            "address_2": "STE 4",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173632",
            "telephone_number": "517-708-8215",
            "fax_number": "517-708-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNING THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "CHEBLI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "517-708-8215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.