Organization Active NPI

LKC Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marine City, MI
National Provider Identifier
1467196758
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LKC COUNSELING, PLLC
Practice address
500 Chartier Ste a
Marine City, MI 48039-2345
Phone
(586) 244-8417
NPI assigned
Apr 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Larena K Cherry, LPCNPI 1487111530
Title
Clinical Therapist
Phone
(586) 215-7770

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

500 Chartier Ste a
Marine City, MI 48039-2345

Mailing address

PO Box 12
Marine City, MI 48039-0012
Phone (586) 244-8417

Other practice location 1

359 S Water St
Marine City, MI 48039-1694
Phone (586) 244-8417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251020002028 MI Part B Supplier - Clinic/Group Practice 6901394246 Receives reassigned benefits from 1 practitioner
Practice locations: Marine City, MI

National Provider Directory

National Provider Directory

Locations

359 S Water St
Marine City, MI 48039
Phone (586) 244-8417

500 Chartier
Ste A
Marine City, MI 48039
Phone (586) 244-8417

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": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1467196758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480390012",
            "telephone_number": "586-244-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHARTIER STE A",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480392345",
            "telephone_number": "586-244-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 S Water St",
            "address_purpose": "LOCATION",
            "city": "Marine City",
            "state": "MI",
            "postal_code": "480391694",
            "country_code": "US",
            "telephone_number": "586-244-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LKC COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "LARENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "586-215-7770",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.