Hackley Life Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HACKLEY LIFE COUNSELING

Practice address

125 E Southern Ave
Muskegon, MI 49442

Phone

(231) 726-3582

Fax

(231) 722-6933

NPI assigned

Apr 2, 2009

Organization subpart

Yes

Parent organization

MERCY HEALTH MUSKEGON / TRINITY HEALTHAs reported in NPPES

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

Authorized official

Name

Michelle Lohman

Title

Regional Director

Phone

(231) 727-4499

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Mercy Health Partners - Life Counseling Doing business as

Part of

Mercy Health Partners

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1477795664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425041",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E SOUTHERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-726-3582",
            "fax_number": "231-722-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY LIFE COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH MUSKEGON / TRINITY HEALTH",
        "enumeration_date": "2009-04-02",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "LOHMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "231-727-4499"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "610004",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SUBSTANCE ABUSE FACILITY",
            "identifier": "20363",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SOCIAL WORKER GROUP",
            "identifier": "OF11088",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - OUTPATIENT PSYCHIATRIC FACILITY",
            "identifier": "0910713",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCHOLOGIST GROUP",
            "identifier": "OF11343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health Partners - Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Partners - Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hackley Life Counseling
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.