Organization Active NPI

Life Solutions Counseling Services

  • Mental Health Counselor
  • Palos Heights, IL
National Provider Identifier
1033749106
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE SOLUTIONS COUNSELING SERVICES
Practice address
7330 W College Dr Ste 207
Palos Heights, IL 60463-1157
Phone
(708) 568-1479
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mr. James Phelan, LCPCNPI 1427407279
Title
Counselor
Phone
(773) 573-3206

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7330 W College Dr Ste 207
Palos Heights, IL 60463-1157

Mailing address

4608 W 99TH St
Oak Lawn, IL 60453-3134
Phone (773) 573-3206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325001107 IL Part B Supplier - Clinic/Group Practice 1355788480 Receives reassigned benefits from 4 practitioners
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

7330 W College Dr
Ste 207
Palos Heights, IL 60463
Phone (708) 215-4122

Practitioners & affiliated clinicians

Practitioners 4

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": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1033749106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 W 99TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533134",
            "telephone_number": "773-573-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W COLLEGE DR STE 207",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631157",
            "telephone_number": "708-568-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "773-573-3206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.