Organization Active NPI

Life Options, LLC

  • Mental Health Counselor
  • Anderson, SC
National Provider Identifier
1053704916
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE OPTIONS, LLC
Practice address
606 Fairmont Rd
Anderson, SC 29621-5934
Phone
(704) 763-9711
NPI assigned
Mar 16, 2015
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Joy Kimberly Ross
Title
Executive Director
Phone
(704) 763-9711

Specialties & licenses 1

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

Addresses

Primary practice location

606 Fairmont Rd
Anderson, SC 29621-5934

Mailing address

9620 Secretariat Dr
Charlotte, NC 28216-1869
Phone (704) 763-9711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1053704916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 SECRETARIAT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161869",
            "telephone_number": "704-763-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FAIRMONT RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215934",
            "telephone_number": "704-763-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-763-9711"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.