Organization Active NPI

KJLN Inc.

Doing business as Life Consultants Inc.

  • Community/Behavioral Health Agency
  • Galax, VA
National Provider Identifier
1144861170
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KJLN INC.
Doing business as
Life Consultants Inc.
Practice address
110 N Main St
Galax, VA 24333-2908
Phone
(757) 529-8844
Fax
(757) 525-4927
NPI assigned
Oct 1, 2019
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KJLN INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Nicholas Moyer
Title
Ceo
Phone
(276) 806-4418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

110 N Main St
Galax, VA 24333-2908

Mailing address

4208 Helen St
Suffolk, VA 23435-2138
Phone (276) 806-4418

Other names 1

  • Life Consultants Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KJLN Inc2 organizations share this tax ID, including this one
Part of
KJLN Inc

Other organizations with this tax ID 1

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

Locations

110 N Main St
Galax, VA 24333
Phone (757) 529-8844

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1144861170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 HELEN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352138",
            "telephone_number": "276-806-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332908",
            "telephone_number": "757-529-8844",
            "fax_number": "757-525-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJLN INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KJLN INC.",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-806-4418"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Consultants Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.