Lifelight Counseling Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFELIGHT COUNSELING SERVICES, LLC

Practice address

1030 County Road E W
Shoreview, MN 55126-8152

Phone

(763) 340-2310

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Rachael A Gusaas, LMFTNPI 1174996656

Title

Owner

Phone

(763) 614-7148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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

• Leanne Mairs, LICSW

  • Clinical Social Worker
  • Shoreview, MN
  • NPI 1053567560
  Medicare reassignment NPD
• Rachael Gusaas

  • Marriage & Family Therapist
  • Shoreview, MN
  • NPI 1174996656
  NPD Authorized official

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1053085704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 FOREST HILL DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432573",
            "telephone_number": "763-614-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTY ROAD E W",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268152",
            "telephone_number": "763-340-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 County Road E W Ste 220",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551268153",
            "country_code": "US",
            "telephone_number": "763-340-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELIGHT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "GUSAAS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-614-7148",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lemay, MS, LAMFT
• Laney Lemere, CCC-SLP
• Melissa Lenz
• Bruce H Leppink, MD
• Amy Lesher, MS, CCC-SLP
• Lifetree Chiropractic & Wellness, LLC
• Living Hope LLC
• Leighton Martin Lommel
• Jay Jiekuen Lou, M.D.
• Lowell Magelssen DC PA

• Clinic/Center in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.