NPIMap

Organization Active NPI

Lrea Therapy LLC

  • Clinical Social Worker
  • Caledonia, MI
National Provider Identifier
1952798969
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089086 Issued in MI
Legal business name
LREA THERAPY LLC
Practice address
9809 Cherry Valley Ave SE
Caledonia, MI 49316-9592
Phone
(616) 262-9466
NPI assigned
Apr 17, 2015
Last updated
Apr 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Lauralee Rea, LMSWNPI 1407155534
Title
Owner
Phone
(616) 262-9466

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 6801089086 MI Primary

Addresses

Primary practice location

9809 Cherry Valley Ave SE
Caledonia, MI 49316-9592

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1952798969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 CHERRY VALLEY AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169592",
            "telephone_number": "616-262-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LREA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "LAURALEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-262-9466",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.