NPIMap

Organization Active NPI

Life Intensity Counseling Services

Doing business as Chasing Harmony Recover Center

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1053723379
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50478 Issued in TX
Legal business name
LIFE INTENSITY COUNSELING SERVICES
Doing business as
Chasing Harmony Recover Center
Practice address
9300 John Hickman Pkwy Ste 801
Frisco, TX 75035-5913
Phone
(817) 404-4492
NPI assigned
May 21, 2014
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Ms. Monica Renea Gray, LCSWNPI 1720362718
Title
President
Phone
(817) 618-6001

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 12

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 50478 TX Primary
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU
Health Educator 174H00000X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

9300 John Hickman Pkwy Ste 801
Frisco, TX 75035-5913

Mailing address

9300 John Hickman Pkwy Ste 801
Frisco, TX 75035-5913
Phone (469) 441-6163

Other practice location 1

610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528
Phone (469) 708-7049

Other practice location 2

26919 US Highway 380 E Ste 204
Aubrey, TX 76227-0239
Phone (817) 618-6001

Other identifiers 3

IdentifierTypeStateIssuer
334367502MedicaidTX
334367501MedicaidTX
331022909MedicaidTX

Other names 1

  • Chasing Harmony Recover Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210312001022 TX Part B Supplier - Clinic/Group Practice 5294141453 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Frisco, TX; Houston, TX; Lubbock, TX; Austin, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Life Intensity CNSL SVCS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26919 US Highway 380 E
Ste 204
Aubrey, TX 76227
Phone (817) 618-6001

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": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1053723379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 801",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355913",
            "telephone_number": "469-441-6163",
            "fax_number": "469-405-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 801",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355913",
            "telephone_number": "817-404-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Uptown Blvd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751043528",
            "country_code": "US",
            "telephone_number": "469-708-7049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26919 US Highway 380 E Ste 204",
            "address_purpose": "LOCATION",
            "city": "Aubrey",
            "state": "TX",
            "postal_code": "762270239",
            "country_code": "US",
            "telephone_number": "817-618-6001",
            "fax_number": "469-405-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE INTENSITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-618-6001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50478",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334367502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334367501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331022909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chasing Harmony Recover Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chasing Harmony Recover Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.