Individual provider Active NPI

Joshua Paul Corsi, MA, TLLP

  • Psychologist
  • Grand Rapids, MI
National Provider Identifier
1366252124
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873
Phone
(616) 888-1120
NPI assigned
Jan 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MI Primary

Addresses

Primary practice location

2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873

Mailing address

2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Life Journey PLLC Psychologist CurrentSince Jan 19, 2025 Accepting new patients

Locations

2013 Eastcastle Dr SE
Ste B
Kentwood, MI 49508
Phone (616) 204-0308

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1366252124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 EASTCASTLE DR SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 EASTCASTLE DR SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088873",
            "telephone_number": "616-888-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSI",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "credential": "MA, TLLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.