NPIMap

Organization Active NPI

Life Matters PLC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1104564145
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE MATTERS PLC
Practice address
4025 W Broadway Ave
Minneapolis, MN 55422-2211
Phone
(763) 898-3323
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
David Lohse
Title
Coo
Phone
(763) 898-3323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

4025 W Broadway Ave
Minneapolis, MN 55422-2211

Mailing address

11657 Pondview CT
Champlin, MN 55316-2629
Phone (952) 992-0023

Other names 1

  • Life Matters Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1104564145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11657 PONDVIEW CT",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162629",
            "telephone_number": "952-992-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222211",
            "telephone_number": "763-898-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MATTERS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-11-04",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "LOHSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "763-898-3323"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Matters Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Matters Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.