Courageous Life Counseling

Primary specialty

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

License

6801093452 Issued in MI

Legal business name

COURAGEOUS LIFE COUNSELING

Practice address

1200 W Eleventh St Ste 114
Traverse City, MI 49684-3288

Phone

(231) 493-2111

Fax

(231) 525-2066

NPI assigned

Jan 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi Neumann, DSWNPI 1346444643

Title

Social Worker

Phone

(231) 313-9165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi Brooke Neumann

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1346444643
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1649788498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 LONDON DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ELEVENTH ST STE 114",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843288",
            "telephone_number": "231-493-2111",
            "fax_number": "231-525-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "231-313-9165",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801093452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County Health Support Services PLLC
• County of Grand Traverse (Grand Traverse County Health Department)
• County of Grand Traverse (Grand Traverse Medical Care)
• County of Grand Traverse (Grand Traverse County Health Department)
• Courage and Context, PLLC
• Victoria Visconti Courtade, PA-C
• Erica Cousineau
• Meagan Coutcher
• Deanna Rose Couture, MA, LPC-S, NCC, RPT
• Amy Patel Couturier, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Traverse City, MI
• Providers in Traverse City, 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 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.