Organization Active NPI

Sankofa Life Solutions

  • Professional Counselor
  • Belleville, MI
National Provider Identifier
1952789372
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012332 Issued in MI
Legal business name
SANKOFA LIFE SOLUTIONS
Practice address
533 Main St
Belleville, MI 48111-2649
Phone
(888) 726-5632
Fax
(888) 726-5632
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Monica Carrington, MRC, CRC, LPCNPI 1295024982
Title
Director
Phone
(888) 726-5632

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401012332 MI Primary

Addresses

Primary practice location

533 Main St
Belleville, MI 48111-2649

Mailing address

46036 Michigan Ave Ste 111
Canton, MI 48188-2304
Phone (888) 726-5632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923001763 MI Part B Supplier - Clinic/Group Practice 5193266740 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, MI

National Provider Directory

National Provider Directory

Locations

533 Main St
Belleville, MI 48111
Phone (734) 716-5588

Practitioners & affiliated clinicians

Practitioners 5

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": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1952789372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE STE 111",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "888-726-5632",
            "fax_number": "888-726-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112649",
            "telephone_number": "888-726-5632",
            "fax_number": "888-726-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA LIFE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-726-5632",
        "authorized_official_credential": "MRC, CRC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.