Active NPI
Lance Cousins, CERTIFIED TRAINER
- Health & Wellness Coach
- Birmingham, MI
National Provider Identifier
1588403141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 937 Henley Street
Birmingham, MI 48009 - Phone
- (248) 766-3541
- NPI assigned
- May 23, 2024
- Last updated
- May 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NU | Primary |
Addresses
Primary practice location
937 Henley Street
Birmingham, MI 48009
Mailing address
937 Henley Street
Birmingham, MI 48009
Phone (248) 766-3541
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1588403141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 HENLEY STREET",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "48009",
"telephone_number": "248-766-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 HENLEY STREET",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "48009",
"telephone_number": "248-766-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINS",
"first_name": "LANCE",
"credential": "CERTIFIED TRAINER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.