Organization Active NPI

Life Counseling of Mid Michigan LLC

  • Mental Health Counselor
  • Bay City, MI
National Provider Identifier
1740798735
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE COUNSELING OF MID MICHIGAN LLC
Practice address
301 N Madison Ave
Bay City, MI 48708-6458
Phone
(989) 220-3676
NPI assigned
Jan 12, 2018
Last updated
Jan 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Megan McClain
Title
Office Manager
Phone
(248) 249-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

301 N Madison Ave
Bay City, MI 48708-6458

Mailing address

6887 Dixie Hwy
Clarkston, MI 48346-5107
Phone (249) 249-1520

Other identifiers 1

IdentifierTypeStateIssuer
1215277231OtherMIPROVIDERS NPI

National Provider Directory

National Provider Directory

Locations

301 N Madison Ave
Bay City, MI 48708
Phone (989) 220-3676

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1740798735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6887 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465107",
            "telephone_number": "249-249-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MADISON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086458",
            "telephone_number": "989-220-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COUNSELING OF MID MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-249-1520"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDERS NPI",
            "identifier": "1215277231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.