Organization Active NPI

A New Idea Clinical Consulting SRVS., LLC

  • Counselor
  • Allegan, MI
National Provider Identifier
1619822814
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
A NEW IDEA CLINICAL CONSULTING SRVS., LLC
Practice address
1751 River Bend Dr
Allegan, MI 49010-8227
Phone
(269) 512-5178
Fax
(269) 645-5930
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Lisa Charles, M.S.ED, LLCNPI 1346482577
Title
Ceo
Phone
(804) 263-7009

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1751 River Bend Dr
Allegan, MI 49010-8227

Mailing address

1751 River Bend Dr
Allegan, MI 49010-8227
Phone (269) 512-5178

National Provider Directory

National Provider Directory

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": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1619822814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 RIVER BEND DR",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108227",
            "telephone_number": "269-512-5178",
            "fax_number": "269-645-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 RIVER BEND DR",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108227",
            "telephone_number": "269-512-5178",
            "fax_number": "269-645-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW IDEA CLINICAL CONSULTING SRVS., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-263-7009",
        "authorized_official_credential": "M.S.ED, LLC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.