NPIMap

Organization Active NPI

Headspace Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
National Provider Identifier
1932773918
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEADSPACE COUNSELING SERVICES, LLC
Practice address
1568 Lake Lansing Rd
Lansing, MI 48912-3707
Phone
(517) 657-3533
NPI assigned
May 14, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Ashita Ghelani
Title
Business Owner
Phone
(517) 974-4726

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1568 Lake Lansing Rd
Lansing, MI 48912-3707

Mailing address

1578 Picadilly Dr
Haslett, MI 48840-8480
Phone (517) 993-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526000138 MI Part B Supplier - Clinic/Group Practice 1557749991 Receives reassigned benefits from 7 practitioners
Practice locations: Brighton, MI; East Lansing, MI; Mt Pleasant, MI

National Provider Directory

National Provider Directory

Locations

205 W Grand River Ave
Ste 101
Brighton, MI 48116
Phone (517) 657-3533

411 W Lake Lansing Rd
Ste B110
East Lansing, MI 48823
Phone (517) 657-3533

114 E Broadway St
Ste 2
Mt Pleasant, MI 48858
Phone (517) 657-3533

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1932773918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 PICADILLY DR",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408480",
            "telephone_number": "517-993-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123707",
            "telephone_number": "517-657-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSPACE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "GHELANI",
        "authorized_official_first_name": "ASHITA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "517-974-4726"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.