Organization Active NPI

Living Lotus Counseling, PLLC

  • Clinical Social Worker
  • Shelby, NC
National Provider Identifier
1154808293
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVING LOTUS COUNSELING, PLLC
Practice address
621A S Lafayette St
Shelby, NC 28150-5807
Phone
(704) 692-0723
Fax
(704) 837-2022
NPI assigned
Jul 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Mrs. Sarah N Philbeck, LCMHCNPI 1811175276
Title
Owner
Phone
(704) 692-0723

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

621A S Lafayette St
Shelby, NC 28150-5807

Mailing address

757 Wallace Grove Dr
Shelby, NC 28150-8325
Phone (704) 692-0723

Other identifiers 1

IdentifierTypeStateIssuer
6870OtherNCNCBLPC

Other names 1

  • Sarah Philbeck, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220720002994 NC Part B Supplier - Clinic/Group Practice 9032590112 Receives reassigned benefits from 5 practitioners
Practice locations: Shelby, NC

National Provider Directory

National Provider Directory

Locations

621 S Lafayette St
#A
Shelby, NC 28150
Phone (704) 692-0723

Practitioners & affiliated clinicians

Practitioners 7

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": "1532217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1154808293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WALLACE GROVE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281508325",
            "telephone_number": "704-692-0723",
            "fax_number": "704-837-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621A S LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505807",
            "telephone_number": "704-692-0723",
            "fax_number": "704-837-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LOTUS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-22",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "PHILBECK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-692-0723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBLPC",
            "identifier": "6870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Philbeck, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.