NPIMap

Organization Active NPI

Lifespring Counseling Services

  • Counselor
  • Jackson, MI
National Provider Identifier
1679077242
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LIFESPRING COUNSELING SERVICES
Practice address
2938 E Michigan Ave
Jackson, MI 49202-3846
Phone
(517) 244-6050
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Lissa ColeNPI 1336576073
Title
Owner
Phone
(517) 795-5191

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2938 E Michigan Ave
Jackson, MI 49202-3846

Mailing address

PO Box 646
Grass Lake, MI 49240-0646
Phone (517) 795-5191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608000943 MI Part B Supplier - Clinic/Group Practice 5698175974 Receives reassigned benefits from 5 practitioners
Practice locations: Michigan Center, MI

National Provider Directory

National Provider Directory

Locations

2938 E Michigan Ave
Jackson, MI 49202
Phone (517) 244-6050

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1679077242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492400646",
            "telephone_number": "517-795-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023846",
            "telephone_number": "517-244-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-795-5191"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.