NPIMap

Organization Active NPI

Lifeskills Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Naperville, IL
National Provider Identifier
1053861989
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFESKILLS COUNSELING SERVICES, LLC
Practice address
230 Martin Ave
Naperville, IL 60540-6536
Phone
(630) 848-1200
Fax
(630) 848-1208
NPI assigned
Oct 4, 2016
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Syed Jafry, MS, MBA
Title
Director
Phone
(847) 890-1441

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Hospital Unit 273R00000X

Addresses

Primary practice location

230 Martin Ave
Naperville, IL 60540-6536

Mailing address

230 Martin Ave
Naperville, IL 60540-6536
Phone (630) 848-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903002733 IL Part B Supplier - Clinic/Group Practice 5991080954 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory
Tax ID family
Lifeskills Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1053861989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MARTIN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406536",
            "telephone_number": "630-848-1200",
            "fax_number": "630-848-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MARTIN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406536",
            "telephone_number": "630-848-1200",
            "fax_number": "630-848-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "JAFRY",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-890-1441",
        "authorized_official_credential": "MS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.