Organization Active NPI

Lions Heart Counseling Licensed Clinical Social Worker, Inc

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1003367350
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62672 Issued in CA
Legal business name
LIONS HEART COUNSELING LICENSED CLINICAL SOCIAL WORKER, INC
Practice address
25 Cadillac Dr #132
Sacramento, CA 95825
Phone
(916) 494-9218
Fax
(916) 282-1698
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
James Meyer, LCSWNPI 1649478736
Title
President
Phone
(916) 494-9218

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 62672 CA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 62672 CA Primary

Addresses

Primary practice location

25 Cadillac Dr #132
Sacramento, CA 95825

Mailing address

25 Cadillac Dr #132
Sacramento, CA 95825
Phone (916) 494-9218

Other practice location 1

320 W. 37th ST
5th floor
New York, NY 10018-4252
Phone (186) 628-7180

Other identifiers 1

IdentifierTypeStateIssuer
1649478736MedicaidCA

Other names 1

  • Able to Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robert.garza@ableto.com Direct
Direct Messaging Address robert.garza@ableto.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001346 CA Part B Supplier - Clinic/Group Practice 8426339953 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

2600 E Bidwell St
Ste 215
Folsom, CA 95630
Phone (916) 202-5557

25 Cadillac Dr
Ste 132
Sacramento, CA 95825
Phone (844) 546-6788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1003367350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CADILLAC DR #132",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-494-9218",
            "fax_number": "916-282-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CADILLAC DR #132",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-494-9218",
            "fax_number": "916-282-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W. 37th ST",
            "address_2": "5th floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100184252",
            "country_code": "US",
            "telephone_number": "186-628-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIONS HEART COUNSELING LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-494-9218",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CA",
            "license": "62672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "62672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649478736",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.garza@ableto.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 W. 37th ST",
            "address_2": "5th floor",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100184252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.garza@ableto.com",
            "affiliation": "N",
            "endpointDescription": "robert.garza@ableto.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 W. ST",
            "address_2": "5th floor",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100184252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Able TO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Able to",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.