Organization Active NPI

Life Solutions Counseling, PLLC

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1912417940
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE SOLUTIONS COUNSELING, PLLC
Practice address
340 N Main St Ste 303
Plymouth, MI 48170-1290
Phone
(734) 730-2426
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Ms. Julie Encelewski, LMSWNPI 1457647059
Title
Owner
Phone
(734) 730-2426

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

340 N Main St Ste 303
Plymouth, MI 48170-1290

Mailing address

340 N Main St Ste 303
Plymouth, MI 48170-1290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219001670 MI Part B Supplier - Clinic/Group Practice 3173881273 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

340 N Main St
Ste 303
Plymouth, MI 48170
Phone (734) 730-2426

304 N Main St
Ste 303
Plymouth, MI 48170
Phone (248) 567-9662

304 N Main St
Ste 303
Plymouth, MI 48170
Phone (248) 567-9662

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": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1912417940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST STE 303",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST STE 303",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701290",
            "telephone_number": "734-730-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "ENCELEWSKI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-730-2426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.