PORTAGE LIFE COACHING AND COUNSELING LLP
NPI 1366052011
Social Worker - Clinical in Portage, MI

Active since August 07, 2020
10032 SHAVER RD, PORTAGE, MI 49024(269) 993-9977 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portage Life Coaching And Counseling Llp NPPES

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

PORTAGE LIFE COACHING AND COUNSELING LLP (NPI 1366052011) is a healthcare organization registered as a clinical in Portage, Michigan and active in the NPI registry since August 2020. The organization lists Gerald Brooks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366052011
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePORTAGE LIFE COACHING AND COUNSELING LLP
Location Address10032 SHAVER RDPortage, MI 49024-6738
Mailing Address10032 Shaver RdPortage, MI 49024-6738
Organization SubpartNo
Authorized OfficialGerald BrooksCeo · (269) 447-8758
Enumeration DateAugust 7, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedAugust 7, 2020
NPI 1366052011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10032 SHAVER RD, Portage, MI 49024

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10032 SHAVER RD
PORTAGE, MI 49024
Counselor (Professional)
10032 SHAVER RD
PORTAGE, MI 49024
Social Worker
10032 SHAVER RD
PORTAGE, MI 49024

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 Portage Life Coaching And Counseling LLP's NPI number?

The NPI number for Portage Life Coaching And Counseling LLP is 1366052011. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is Portage Life Coaching And Counseling LLP located?

Portage Life Coaching And Counseling LLP is located at 10032 Shaver Rd, Portage, MI 49024. The listed phone number is (269) 993-9977.

What is Portage Life Coaching And Counseling LLP's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Portage Life Coaching And Counseling LLP was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.