NPIMap

Organization Active NPI

Center for Life Skills Development, LLC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1144502162
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BH3833 Issued in AZ
Legal business name
CENTER FOR LIFE SKILLS DEVELOPMENT, LLC
Practice address
1625 N Alvernon Way
Tucson, AZ 85712-3369
Phone
(520) 546-1642
Fax
(520) 325-0436
NPI assigned
Sep 15, 2011
Organization subpart
Yes
Parent organization
CENTER FOR LIFE SKILLS DEVELOPMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Mrs. Roberta Ann Lewusz, M.C.,L.P.C.
Title
Ceo/Co-Owner
Phone
(520) 904-9701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X BH3833 AZ Primary
Community/Behavioral Health Agency 251S00000X BH3833 AZ

Addresses

Primary practice location

1625 N Alvernon Way
Tucson, AZ 85712-3369

Mailing address

2001 W. Orange Grove Road, Suite 612
Tucson, AZ 85704
Phone (520) 546-1642

National Provider Directory

National Provider Directory
Tax ID family
Center for Life Skills Development4 organizations share this tax ID, including this one
Part of
Center for Life Skills Development

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1625 N Alvernon Way
Tucson, AZ 85712
Phone (520) 546-1642

Practitioners & affiliated clinicians

Practitioners 2

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": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1144502162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W. ORANGE GROVE ROAD, SUITE 612",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-546-1642",
            "fax_number": "520-325-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123369",
            "telephone_number": "520-546-1642",
            "fax_number": "520-325-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIFE SKILLS DEVELOPMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR LIFE SKILLS DEVELOPMENT, LLC",
        "enumeration_date": "2011-09-15",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "LEWUSZ",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/CO-OWNER",
        "authorized_official_telephone_number": "520-904-9701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.C.,L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "BH3833",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.