Organization Active NPI

My Life Counseling LLC

  • Community/Behavioral Health Agency
  • Sterling Heights, MI
National Provider Identifier
1700310828
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401011148 Issued in MI
Legal business name
MY LIFE COUNSELING LLC
Practice address
13854 Lakeside Cir Ste 245
Sterling Heights, MI 48313-1316
Phone
(586) 580-4243
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Carlotta Monqiue Slater, MA LPC CADCNPI 1275857716
Title
Owner
Phone
(586) 580-4243

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
Community/Behavioral Health Agency 251S00000X 6401011148 MI Primary

Addresses

Primary practice location

13854 Lakeside Cir Ste 245
Sterling Heights, MI 48313-1316

Mailing address

13854 Lakeside Cir Ste 245
Sterling Heights, MI 48313-1316
Phone (586) 580-4243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421001369 MI Part B Supplier - Clinic/Group Practice 3971028143 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Clemens, MI

National Provider Directory

National Provider Directory

Locations

15 N Walnut St
Ste 302
Mount Clemens, MI 48043
Phone (586) 580-4243

13854 Lakeside Cir
Ste 245
Sterling Heights, MI 48313
Phone (586) 580-4243

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": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1700310828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 245",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131316",
            "telephone_number": "586-580-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 245",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131316",
            "telephone_number": "586-580-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "CARLOTTA",
        "authorized_official_middle_name": "MONQIUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-580-4243",
        "authorized_official_credential": "MA LPC CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.