NPIMap

Organization Active NPI

Mitch PC

Doing business as Center of Hope Counseling

  • Professional Counselor
  • Mt Pleasant, MI
National Provider Identifier
1447617097
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005318 Issued in MI
Legal business name
MITCH PC
Doing business as
Center of Hope Counseling
Practice address
1001 Fairfield Dr
Mount Pleasant, MI 48858-4317
Phone
(989) 954-4673
NPI assigned
Jan 26, 2016
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mrs. Lisa L Carpenter, L.P.C
Title
Owner
Phone
(989) 954-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401005318 MI Primary

Addresses

Primary practice location

1001 Fairfield Dr
Mount Pleasant, MI 48858-4317

Mailing address

1001 Fairfield Dr
Mount Pleasant, MI 48858-4317
Phone (989) 954-4673

Other identifiers 1

IdentifierTypeStateIssuer
6401005318OtherMISTATE LICENSE NUMBER

Other names 1

  • Center of Hope Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401002862 MI Part B Supplier - Clinic/Group Practice 1153769815 Receives reassigned benefits from 8 practitioners
Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

1001 Fairfield Dr
Mt Pleasant, MI 48858
Phone (989) 429-2506

113 W Broadway St
Ste 115
Mt Pleasant, MI 48858
Phone (989) 954-4673

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1447617097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FAIRFIELD DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584317",
            "telephone_number": "989-954-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FAIRFIELD DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584317",
            "telephone_number": "989-954-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-954-4673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6401005318",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.