Innerlight Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801061244 Issued in MI

Legal business name

INNERLIGHT COUNSELING SERVICES LLC

Practice address

6199 Miller Rd
Suite a
Swartz Creek, MI 48473-1585

Phone

(810) 630-0904

Fax

(810) 630-0962

NPI assigned

Aug 5, 2008

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Marie Bergfeld, LMSW ACSWNPI 1457441115

Title

Clinical Social Worker

Phone

(810) 630-0904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Sandra Bergfeld, MSW, LMSW

  • Clinical Social Worker
  • Flint, MI
  • NPI 1457441115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1427214899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD",
            "address_2": "SUITE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-630-0904",
            "fax_number": "810-630-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 MILLER RD",
            "address_2": "SUITE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731585",
            "telephone_number": "810-630-0904",
            "fax_number": "810-630-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERLIGHT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BERGFELD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "810-630-0904",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Hodgins, RPH
• Hope Rising Counseling Services LLC
• Holly Marie Huizar
• Taquavius Arnaz Humphries
• Pamela Sue Hyles, LMSW
• Natasha Jackson, RN
• James H English OD PC
• Tina Johnson
• Michael Louis Karns, RPH
• Randall Kaszynski, MA, LPC, MT-BC

• Clinical Social Worker in Swartz Creek, MI
• Providers in Swartz Creek, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.