HACKLEY LIFE COUNSELING (NPI# 1912954322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912954322 |
| Entity Type | Organization |
| Organization Name | HACKLEY LIFE COUNSELING |
| Other Organization Name | MERCY HEALTH - LIFE COUNSELING |
| Practice Address |
125 E Southern Ave Muskegon MI 49442-5041 |
| Practice Telephone | 2317263582 |
| Practice Fax Number | 2317226933 |
| Mailing Telephone | 2317263582 |
| Mailing Fax Number | 2317226933 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MRS. SANDRA KLEIN HORSMAN (DIRECTOR) |
| Authorized Official Telephone | 2317263582 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
610004 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS - OPC | 0910713 | 01 |
| MI | BCBS PSYCHOLOGIST GROUP | OF11343 | 01 |
| MI | VALUE OPTIONS MENTAL HEAL | 030234 | 01 |
| MI | VALUE OPTIONS SUB ABUSE | 028369 | 01 |
| MI | BCBS - SUBSTANCE ABUSE FACILITY | 20363 | 01 |
| MI | BCS SOCIAL WORKER GROUP | OF10118 | 01 |
| MI | MAGELLAN GROUP # | 031611000 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Health - Life Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525288 | Hackley Life Counseling | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2011-01-21 |
| 1477795664 | Hackley Life Counseling | Psychologist | 125 E Southern Ave, Muskegon, MI 49442 | 2009-04-02 |
| Street Address |
125 E SOUTHERN AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952898686 | Michelle Reed | Nurse Practitioner | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2018-04-18 |
| 1205374469 | Maryanne Vonins Gregory | Behavior Technician | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2017-02-08 |
| 1508301987 | Teah Mae Waterman | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2016-12-21 |
| 1023478401 | Paige K Cook | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2016-02-29 |
| 1558773903 | Angela Mcfarlane | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2014-05-20 |
| 1114341914 | Gary L Oxendale | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2014-02-13 |
| 1477997385 | Lisa Nicole Arndt | Counselor | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2013-04-22 |
| 1649512484 | Susan Diane Blackburn | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2013-03-19 |
| 1912287830 | Jordan N Long | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2011-08-23 |
| 1144525288 | Hackley Life Counseling | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2011-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326560970 | Change Through Transition, Ltd | Clinic/Center | 1889 Robinson St, Muskegon, MI 49441-1779 | 2017-07-14 |
| 1811291990 | Alpha Psychological Services of Western Michigan | Clinic/Center | 1804 Oak Ave, Muskegon, MI 49442-2408 | 2011-01-04 |
| 1003914946 | County of Muskegon | Clinic/Center | 376 E Apple Avenue, Muskegon, MI 49442-3466 | 2006-09-21 |
| 1447789862 | Healthwest Autism Program | Clinic/Center | 376 E Apple Ave, Muskegon, MI 49444-3466 | 2017-06-08 |
| 1043389901 | Psychological Services Center, Plc | Clinic/Center | 84 Seaway Drive, Muskegon, MI 49444 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637267 | Thompson Counseling & Consulting LLC | Clinic/Center | 36500 Ford Rd Ste 329, Westland, MI 48185-3769 | 2020-10-21 |
| 1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
| 1871100602 | Sbh Ventures LLC | Clinic/Center | 700 Golfcrest Dr, Dearborn, MI 48124-1121 | 2020-09-25 |
| 1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
| 1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HACKLEY LIFE COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.