LIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES
NPI 1083015499
Psychologist in Waterford, MI

Active since September 05, 2014
4000 W WALTON BLVD, SUITE B, WATERFORD, MI 48329(248) 881-6698 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifelens Psychological And Counseling Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES (NPI 1083015499) is a healthcare organization registered as a psychologist in Waterford, Michigan and active in the NPI registry since September 2014. The organization lists Daniel Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1083015499
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLIFELENS PSYCHOLOGICAL AND COUNSELING SERVICES
Location Address4000 W WALTON BLVD, SUITE BWaterford, MI 48329-4191
Mailing Address4000 W Walton Blvd Ste BWaterford, MI 48329-4191 · (248) 881-6698 · Fax (248) 791-7905
Organization SubpartNo
Authorized OfficialDaniel WallOwner · (248) 881-6698
Enumeration DateSeptember 5, 2014
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1083015499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4000 W WALTON BLVD, Waterford, MI 48329

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifelens Psychological And Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Lifelens Psychological And Counseling Services, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 18 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Mental Health Counselor9
Clinical Social Worker8
Clinical Psychologist2

Clinicians, nearest first (19)

Clinical Social Worker
NPI 1245899681
4000 W WALTON BLVD
Waterford, MI 48329
(248) 461-6304
✔ PECOSSame address
Mental Health Counselor
NPI 1336907971
4000 W WALTON BLVD STE B
Waterford, MI 48329
(248) 461-6266
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1932699741
4000 W WALTON BLVD STE A&B
Waterford, MI 48329
(248) 426-6266
✔ PECOSSame address
Mental Health Counselor
NPI 1184187049
4000 W WALTON BLVD STE A-B
Waterford, MI 48329
(248) 461-6266
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1205850914
4000 W WALTON BLVD
Waterford, MI 48329
(248) 922-2300
✔ PECOSSame address
Clinical Social Worker
NPI 1639725849
4000 W WALTON BLVD
Waterford, MI 48329
(248) 461-6266
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1720558059
4000 W WALTON BLVD STE A
Waterford, MI 48329
(810) 545-8308
✔ PECOSSame address
Mental Health Counselor
NPI 1629222039
4000 W WALTON BLVD STE A
Waterford, MI 48329
(248) 461-6266
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1982110789
4000 W WALTON BLVD
Waterford, MI 48329
(248) 410-0559
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1184901969
4000 W WALTON BLVD STE B
Waterford, MI 48329
(248) 461-6266
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1962827352
4000 W WALTON BLVD STE A
Waterford, MI 48329
(248) 461-6266
✔ PECOSSame address
Mental Health Counselor
NPI 1376896753
4345 MEIGS AVE
Waterford, MI 48329
(248) 881-5236
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1124766126
6549 TOWN CENTER DR STE A
Clarkston, MI 48346
(248) 620-6400
✔ PECOS2.8 mi
Clinical Social Worker
NPI 1104234822
6887 DIXIE HWY
Clarkston, MI 48346
(248) 620-1019
✔ PECOS3.6 mi
Mental Health Counselor
NPI 1033566674
1255 N OAKLAND BLVD
Waterford, MI 48327
(248) 406-0090
✔ PECOS4.1 mi
Clinical Social Worker
NPI 1821306663
1255 N OAKLAND BLVD
Waterford, MI 48327
(248) 406-0090
✔ PECOS✔ Accepts Medicare4.1 mi
Clinical Psychologist
NPI 1760673909
7300 DIXIE HWY STE 1000
Clarkston, MI 48346
(248) 922-2300
✔ PECOS4.2 mi
Clinical Social Worker
NPI 1356562177
43996 WOODWARD AVENUE SUITE 102
Bloomfield Hills, MI 48302
(248) 335-1711
✔ PECOS✔ Accepts Medicare7.4 mi
Clinical Social Worker
NPI 1699370627
30061 JOHN RIVERS DR
New Haven, MI 48048
(586) 746-4297
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifelens Psychological And Counseling Services's NPI number?

The NPI number for Lifelens Psychological And Counseling Services is 1083015499. It was assigned to this organization in the NPPES registry on September 5, 2014.

Where is Lifelens Psychological And Counseling Services located?

Lifelens Psychological And Counseling Services is located at 4000 W Walton Blvd Suite B, Waterford, MI 48329. The listed phone number is (248) 881-6698.

What is Lifelens Psychological And Counseling Services's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lifelens Psychological And Counseling Services enrolled in Medicare?

Yes. Lifelens Psychological And Counseling Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifelens Psychological And Counseling Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Lifelens Psychological And Counseling Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (9), Clinical Social Worker (8) and Clinical Psychologist (2). Of these, 11 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifelens Psychological And Counseling Services accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lifelens Psychological And Counseling Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifelens Psychological And Counseling Services was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.