NPIMap

Organization Active NPI

Life Coach Psychology

  • Counseling Psychologist
  • Berrien Springs, MI
National Provider Identifier
1245543370
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301010743 Issued in MI
Legal business name
LIFE COACH PSYCHOLOGY
Practice address
9067 US Highway 31
Suite 203
Berrien Springs, MI 49103-1664
Phone
(269) 471-9892
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Harold Smith, M.D.NPI 1003881533
Title
Owner
Phone
(269) 471-9892

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 6301010743 MI Primary

Addresses

Primary practice location

9067 US Highway 31
Suite 203
Berrien Springs, MI 49103-1664

Mailing address

9067 US Highway 31
Suite 203
Berrien Springs, MI 49103-1664
Phone (269) 471-9892

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": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1245543370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9067 US HIGHWAY 31",
            "address_2": "SUITE 203",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031664",
            "telephone_number": "269-471-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9067 US HIGHWAY 31",
            "address_2": "SUITE 203",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031664",
            "telephone_number": "269-471-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COACH PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-471-9892",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301010743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berrien Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.