Active NPI
Lifeguides, LLC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1205069424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-0500159
- Legal business name
- LIFEGUIDES, LLC
- Practice address
- 930 Thayer Dr
Columbus, OH 43230-6241 - Phone
- (614) 342-0243
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Peter Orlousky, LPCC, LCDC-III
- Title
- Member-Manager
- Phone
- (614) 342-0243
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 091032 | OH | |
| Professional Counselor | 101YP2500X | E-0500159 | OH | Primary |
Addresses
Primary practice location
930 Thayer Dr
Columbus, OH 43230-6241
Mailing address
930 Thayer Dr
Columbus, OH 43230-6241
Phone (614) 342-0243
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1205069424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 THAYER DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432306241",
"telephone_number": "614-342-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 THAYER DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432306241",
"telephone_number": "614-342-0243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEGUIDES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "ORLOUSKY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "MEMBER-MANAGER",
"authorized_official_telephone_number": "614-342-0243",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPCC, LCDC-III"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "091032",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-0500159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.