Organization Active NPI

Life and Love Counseling LLC

  • Social Worker
  • Lancaster, PA
National Provider Identifier
1104357326
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129118 Issued in PA
Legal business name
LIFE AND LOVE COUNSELING LLC
Practice address
205 Granite Run Dr
Suite 310
Lancaster, PA 17601-6821
Phone
(717) 917-5862
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Ambre Lei Witte, LSWNPI 1982049904
Title
Owner
Phone
(717) 917-5862

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X SW129118 PA Primary

Addresses

Primary practice location

205 Granite Run Dr
Suite 310
Lancaster, PA 17601-6821

Mailing address

205 Granite Run Dr
Suite 310
Lancaster, PA 17601-6821
Phone (717) 917-5862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190131003059 PA Part B Supplier - Clinic/Group Practice 1557608304 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

205 Granite Run Dr
Ste 310
Lancaster, PA 17601
Phone (717) 617-2065

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": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1104357326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANITE RUN DR",
            "address_2": "SUITE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016821",
            "telephone_number": "717-917-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANITE RUN DR",
            "address_2": "SUITE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016821",
            "telephone_number": "717-917-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AND LOVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "AMBRE",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-917-5862",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.