Northwest Lifestar, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTHWEST LIFESTAR, INC

Practice address

8380 Warren Pkwy Ste 604
Frisco, TX 75034-4253

Phone

(503) 747-8171

Fax

(501) 443-8594

NPI assigned

May 22, 2026

Organization subpart

No

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

Authorized official

Name

Brent Cichoski, LPC, CSAT, CCPS

Title

Authorized Official

Phone

(000) 000-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1164352704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ARI AVE",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727197073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 604",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344253",
            "telephone_number": "503-747-8171",
            "fax_number": "501-443-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LIFESTAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "CICHOSKI",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "000-000-0000",
        "authorized_official_credential": "LPC, CSAT, CCPS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Frisco, TX
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• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.