Life Way Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFE WAY COUNSELING SERVICES LLC

Practice address

4650 Mexico Rd
Saint Peters, MO 63376-1607

Phone

(636) 498-9326

NPI assigned

Jun 18, 2022

Organization subpart

No

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

Authorized official

Name

Holly Jacobs, LPCNPI 1215668587

Title

Owner

Phone

(636) 498-9326

Specialties & licenses 1

Addresses

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.

• Holly Jacobs, LPC

  • Professional Counselor
  • Saint Peters, MO
  • NPI 1215668587
  Authorized official Same address or phone

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655510400000",
    "number": "1124759493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761607",
            "telephone_number": "636-498-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761607",
            "telephone_number": "636-498-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WAY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-498-9326",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Leyendecker, LMSW
• Heather Lauren Li, PHARM.D.
• Lice Clinics USA LLC
• Megan Sue Lienau, PHARM.D.
• Life Changing Home Health & Adult Day Care, Inc. (Life Changing Adult Day Care, Inc.)
• Lifetime Psychiatry LLC
• Nicholas J Liford, DC
• Light to Wellness Therapy and Consulting Services LLC
• Grace Ligibel, BCBA
• Samantha Nicole Lillico, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.