NPIMap

Organization Active NPI

Dynamic Life Counseling

Doing business as Dynamic Wellness Collaborative

  • Clinical Social Worker
  • Orion, MI
National Provider Identifier
1942883236
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DYNAMIC LIFE COUNSELING
Doing business as
Dynamic Wellness Collaborative
Practice address
2633 S Lapeer Rd Ste G
Orion, MI 48360-2810
Phone
(248) 270-5660
NPI assigned
May 4, 2021
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Karyn Skiba, LMSWNPI 1841672987
Title
Owner
Phone
(248) 534-8201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2633 S Lapeer Rd Ste G
Orion, MI 48360-2810

Mailing address

2633 S Lapeer Rd Ste G
Orion, MI 48360-2810
Phone (248) 270-5660

Other names 1

  • Dynamic Wellness Collaborative Doing business as

National Provider Directory

National Provider Directory

Locations

2633 S Lapeer Rd
Ste G
Orion, MI 48360
Phone (248) 270-5660

201 W Big Beaver Rd
Ste 600
Troy, MI 48084

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1942883236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 S LAPEER RD STE G",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483602810",
            "telephone_number": "248-270-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 S LAPEER RD STE G",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483602810",
            "telephone_number": "248-270-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "SKIBA",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-534-8201",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Wellness Collaborative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Wellness Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.