NPIMap

Organization Active NPI

Lifepoint Counseling Center

  • Community/Behavioral Health Agency
  • Lexington, SC
National Provider Identifier
1104061514
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFEPOINT COUNSELING CENTER
Practice address
1431 N Lake Dr
Lexington, SC 29072-7651
Phone
(803) 808-9623
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Mr. Mark Edward Tidsworth, LMFT, LPCNPI 1275695165
Title
Director
Phone
(803) 808-9623

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1431 N Lake Dr
Lexington, SC 29072-7651

Mailing address

1431 N Lake Dr
Lexington, SC 29072-7651
Phone (803) 808-9623

National Provider Directory

National Provider Directory

Locations

1431 N Lake Dr
Lexington, SC 29072
Phone (803) 808-9623

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1104061514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727651",
            "telephone_number": "803-808-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727651",
            "telephone_number": "803-808-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "TIDSWORTH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-808-9623",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.