NPIMap

Organization Active NPI

Real Life Counseling Services, PLLC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1154750529
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13028 Issued in AZ
Legal business name
REAL LIFE COUNSELING SERVICES, PLLC
Practice address
3573 S 158TH PL
BLDG B
Gilbert, AZ 85297-2046
Phone
(480) 748-5006
Fax
(480) 265-4444
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mrs. Darcy Kusak, MA, LPCNPI 1114356805
Title
Member, Statutory Agent, Founder
Phone
(480) 748-5006

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-13028 AZ Primary

Addresses

Primary practice location

3573 S 158TH PL
BLDG B
Gilbert, AZ 85297-2046

Mailing address

3573 S 158TH PL
BLDG B
Gilbert, AZ 85297-2046
Phone (480) 748-5006

National Provider Directory

National Provider Directory

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": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1154750529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 S 158TH PL",
            "address_2": "BLDG B",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972046",
            "telephone_number": "480-748-5006",
            "fax_number": "480-265-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 S 158TH PL",
            "address_2": "BLDG B",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972046",
            "telephone_number": "480-748-5006",
            "fax_number": "480-265-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "KUSAK",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "MEMBER, STATUTORY AGENT, FOUNDER",
        "authorized_official_telephone_number": "480-748-5006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.