NPIMap

Organization Active NPI

Life Counseling and Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Scottsbluff, NE
National Provider Identifier
1124595004
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIFE COUNSELING AND WELLNESS CENTER
Practice address
1516 21St Ave
Scottsbluff, NE 69361-2736
Phone
(308) 631-9357
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Daniel Edward Palomo, LADC, ICADC, AANPI 1740583129
Title
Owner/Substance Use Counselor
Phone
(308) 631-9357

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1516 21St Ave
Scottsbluff, NE 69361-2736

Mailing address

1516 21St Ave
Scottsbluff, NE 69361-2736
Phone (308) 631-9357

National Provider Directory

National Provider Directory

Locations

1516 21st Ave
Scottsbluff, NE 69361
Phone (308) 631-9357

Practitioners & affiliated clinicians

Practitioners 1

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1124595004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 21ST AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612736",
            "telephone_number": "308-631-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 21ST AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612736",
            "telephone_number": "308-631-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COUNSELING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "PALOMO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/SUBSTANCE USE COUNSELOR",
        "authorized_official_telephone_number": "308-631-9357",
        "authorized_official_credential": "LADC, ICADC, AA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.