Life Support Therapy Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE SUPPORT THERAPY SERVICES LLC

Practice address

4035 Northpointe Dr Unit B
Zanesville, OH 43701-1738

Phone

(740) 487-1768

Fax

(740) 870-0086

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Jacquie Kirkbride, MSW, LSW

Title

Managing Partner

Phone

(740) 487-1768

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred Kirkbride

  • Professional Counselor
  • Zanesville, OH
  • NPI 1639529936
  Medicare reassignment Care Compare group NPD
• Jacqueline S Kirkbride, LISW

  • Social Worker
  • Zanesville, OH
  • NPI 1447899737
  Medicare reassignment Care Compare group NPD
• Kamala Kae Tahyi, LICDC; LPC

  • Professional Counselor
  • Zanesville, OH
  • NPI 1760925457
  Medicare reassignment NPD
• Autumn Dent

  • Mental Health Counselor
  • Zanesville, OH
  • NPI 1336911189
  NPD
• Stephanie Alaine Potts, LPC

  • Mental Health Counselor
  • Zanesville, OH
  • NPI 1881412724
  NPD
• Jenna Ann Scott, LSW

  • Social Worker
  • Zanesville, OH
  • NPI 1457036584
  NPD

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1194175497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437022828",
            "telephone_number": "740-487-1768",
            "fax_number": "740-870-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 NORTHPOINTE DR UNIT B",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011738",
            "telephone_number": "740-487-1768",
            "fax_number": "740-870-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "KIRKBRIDE",
        "authorized_official_first_name": "JACQUIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "740-487-1768",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194175497",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Elizabeth Lewis, QMHS
• Marcia Louise Lewis, D.D.S.
• Vickye Lynn Lewis
• Nataliya Liber, MD
• Terri Lynn Lichtner, NP
• Lifeline Response of South East Ohio, LLC
• Lifeship Services LLC
• Mark Light, PA-C
• Lincare Inc.
• Cynthia P Linn, PC

• Mental Health Counselor in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.