Organization Active NPI

Lifestart Counseling, P.L.L.C.

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1619291069
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010147 Issued in MI
Legal business name
LIFESTART COUNSELING, P.L.L.C.
Practice address
37875 W. 12 Mile Rd.
Suite 204
Farmington Hills, MI 48331
Phone
(248) 910-1591
Fax
(248) 246-1176
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Ms. Marina Pesserl, LPCNPI 1649478173
Title
Manager
Phone
(248) 910-1591

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 6401010147 MI Primary

Addresses

Primary practice location

37875 W. 12 Mile Rd.
Suite 204
Farmington Hills, MI 48331

Mailing address

37875 W.12 Mile Rd.
Suite 204
Farmington Hills, MI 48331
Phone (248) 910-1591

National Provider Directory

National Provider Directory

Locations

37875 W 12 Mile Rd
Ste 204
Farmington Hills, MI 48331
Phone (248) 910-1591

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": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1619291069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37875 W.12 MILE RD.",
            "address_2": "SUITE 204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "248-910-1591",
            "fax_number": "248-246-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37875 W. 12 MILE RD.",
            "address_2": "SUITE 204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "248-910-1591",
            "fax_number": "248-246-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTART COUNSELING, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "PESSERL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-910-1591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.