NPIMap

Organization Active NPI

Lifefocus Mental Health

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
National Provider Identifier
1831397660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
410311 Issued in MI
Legal business name
LIFEFOCUS MENTAL HEALTH
Practice address
2525 E Paris Ave SE
Suite 111
Grand Rapids, MI 49546-6191
Phone
(616) 451-2777
Fax
(616) 451-3888
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheryl M Soard, LMSWNPI 1316184419
Title
Director
Phone
(616) 451-2777

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 410311 MI Primary

Addresses

Primary practice location

2525 E Paris Ave SE
Suite 111
Grand Rapids, MI 49546-6191

Mailing address

2525 E Paris Ave SE
Suite 111
Grand Rapids, MI 49546-6191
Phone (616) 451-2777

National Provider Directory

National Provider Directory

Locations

2525 East Paris Ave SE
Ste 111
Grand Rapids, MI 49546
Phone (616) 451-2777

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831397660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E PARIS AVE SE",
            "address_2": "SUITE 111",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466191",
            "telephone_number": "616-451-2777",
            "fax_number": "616-451-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E PARIS AVE SE",
            "address_2": "SUITE 111",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466191",
            "telephone_number": "616-451-2777",
            "fax_number": "616-451-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFOCUS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOARD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-451-2777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "410311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.