Organization Active NPI

Life Cycle Counseling, LLC

  • Clinical Psychologist
  • Livonia, MI
National Provider Identifier
1659529139
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013424 Issued in MI
Legal business name
LIFE CYCLE COUNSELING, LLC
Practice address
37799 Professional Dr
Livonia, MI 48154-1153
Phone
(248) 229-5245
Fax
(248) 242-6200
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Donald James McMillan, PSYDNPI 1205978749
Title
Owner
Phone
(248) 229-2631

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301013424 MI Primary

Addresses

Primary practice location

37799 Professional Dr
Livonia, MI 48154-1153

Mailing address

6938 Ellinwood Dr
White Lake, MI 48383-3043
Phone (248) 229-2631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091023000672 MI Part B Supplier - Clinic/Group Practice 7214074244 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

44800 Warren Rd
Canton, MI 48187
Phone (248) 229-2631

23815 Power Rd
Farmington, MI 48336
Phone (248) 229-2631

1062 Church St
Plymouth, MI 48170
Phone (248) 229-2631

Practitioners & affiliated clinicians

Practitioners 2

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": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1659529139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6938 ELLINWOOD DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483833043",
            "telephone_number": "248-229-2631",
            "fax_number": "242-242-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37799 PROFESSIONAL DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541153",
            "telephone_number": "248-229-5245",
            "fax_number": "248-242-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CYCLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-229-2631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.