Organization Active NPI

Life Balance Counseling of Michigan, LLC

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1780057711
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009804 Issued in MI
Legal business name
LIFE BALANCE COUNSELING OF MICHIGAN, LLC
Practice address
27620 Farmington Rd Ste B1
Farmington Hills, MI 48334-3367
Phone
(248) 274-4978
Fax
(248) 671-0556
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Joseph Allen Vanderzanden, LPCNPI 1336484567
Title
Owner/Therapist
Phone
(248) 274-4978

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401009804 MI Primary

Addresses

Primary practice location

27620 Farmington Rd Ste B1
Farmington Hills, MI 48334-3367

Mailing address

27620 Farmington Rd Ste B1
Farmington Hills, MI 48334-3367
Phone (248) 274-4978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212001367 MI Part B Supplier - Clinic/Group Practice 2860928926 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

27620 Farmington Rd
Ste B1
Farmington Hills, MI 48334
Phone (248) 274-4978

7439 Middlebelt Rd
Ste 4
West Bloomfield, MI 48322

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1780057711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE B1",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343367",
            "telephone_number": "248-274-4978",
            "fax_number": "248-671-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE B1",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343367",
            "telephone_number": "248-274-4978",
            "fax_number": "248-671-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE COUNSELING OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "VANDERZANDEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-274-4978",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.