Organization Active NPI

Lifes Seasons LLC

  • Professional Counselor
  • Tonganoxie, KS
National Provider Identifier
1073228532
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFES SEASONS LLC
Practice address
307 Ridge St Ste 102
Tonganoxie, KS 66086-9310
Phone
(913) 845-6122
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Danielle MedinaNPI 1942965322
Title
Member
Phone
(913) 845-6122

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

307 Ridge St Ste 102
Tonganoxie, KS 66086-9310

Mailing address

307 Ridge St Ste 102
Tonganoxie, KS 66086-9310
Phone (913) 845-6122

National Provider Directory

National Provider Directory

Locations

307 Ridge St
Ste 102
Tonganoxie, KS 66086
Phone (913) 845-6122

Practitioners & affiliated clinicians

Practitioners 1

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": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1073228532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 RIDGE ST STE 102",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869310",
            "telephone_number": "913-845-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 RIDGE ST STE 102",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869310",
            "telephone_number": "913-845-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES SEASONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-845-6122"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonganoxie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.