Active NPI
Life Balance Counseling of Michigan, LLC
- Professional Counselor
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Allen Vanderzanden, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Farmington Hills, MI
- NPI 1336484567
MI, Professional
-
- Otolaryngology Physician
- Holland, MI
- NPI 1851329007
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.