Organization Active NPI

Forty Mile Family Farms LLC

  • Mental Health Counselor
  • Carleton, MI
National Provider Identifier
1609737113
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FORTY MILE FAMILY FARMS LLC
Doing business as
Forty Mile Family Farms LLC
Practice address
6491 Hivon Rd
Carleton, MI 48117-9547
Phone
(567) 343-3238
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mr. Maje-Lloyd Hogan
Title
Barn Manager
Phone
(567) 343-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6491 Hivon Rd
Carleton, MI 48117-9547

Mailing address

1921 Knollwood BND
Ypsilanti, MI 48198-9551
Phone (567) 343-3238

Other names 1

  • FORTY MILE FAMILY FARMS LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1609737113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 KNOLLWOOD BND",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989551",
            "telephone_number": "567-343-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6491 HIVON RD",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179547",
            "telephone_number": "567-343-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTY MILE FAMILY FARMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MAJE-LLOYD",
        "authorized_official_title_or_position": "BARN MANAGER",
        "authorized_official_telephone_number": "567-343-3238",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORTY MILE FAMILY FARMS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carleton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.