Active NPI
Misty Lynn Lafree, LLPC
- Mental Health Counselor
- Holland, MI
National Provider Identifier
1770205585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451019711
- Practice address
- 217 E 24TH St Ste 201
Holland, MI 49423-4973 - Phone
- (616) 209-8249
- NPI assigned
- Sep 19, 2022
- Last updated
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451019711 | MI | Primary |
Addresses
Primary practice location
217 E 24TH St Ste 201
Holland, MI 49423-4973
Mailing address
1220 Dorroll St NE
Grand Rapids, MI 49505-4320
Phone (616) 581-8489
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | misty@leadlightcounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451019711 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amplified Life Network, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Amplified Life
- Professional Counselor
- Byron Center, MI
- NPI 1558713388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1770205585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 DORROLL ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054320",
"telephone_number": "616-581-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E 24TH ST STE 201",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234973",
"telephone_number": "616-209-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFREE",
"first_name": "MISTY",
"middle_name": "LYNN",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451019711",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "misty@leadlightcounseling.com",
"affiliation": "N",
"endpointDescription": "HIPPA Compliant Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "217 E 24th St Ste 201",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494234973",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.