Organization Active NPI

Lifetime Christian Counselors LLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1013331115
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFETIME CHRISTIAN COUNSELORS LLC
Practice address
3740 Colony Dr Ste 125
San Antonio, TX 78230-2365
Phone
(210) 501-9377
Fax
(210) 641-2940
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Judith Katherine Pfeifer, LPCNPI 1679611396
Title
Owner
Phone
(210) 818-1707

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
Counselor 101Y00000X 10351 TX
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3740 Colony Dr Ste 125
San Antonio, TX 78230-2365

Mailing address

13302 Possum Cir
San Antonio, TX 78232-4764
Phone (210) 818-1707

Other identifiers 1

IdentifierTypeStateIssuer
213205204MedicaidTX

National Provider Directory

National Provider Directory

Locations

2018 Avenue B
Ste 318
San Antonio, TX 78215

3740 Colony Dr
Ste 125
San Antonio, TX 78230
Phone (210) 212-7353

Practitioners & affiliated clinicians

Practitioners 2

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": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1013331115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13302 POSSUM CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324764",
            "telephone_number": "210-818-1707",
            "fax_number": "210-641-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302365",
            "telephone_number": "210-501-9377",
            "fax_number": "210-641-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME CHRISTIAN COUNSELORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "PFEIFER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-818-1707",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "10351",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213205204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.