NPIMap

Organization Active NPI

Lifesource Counseling and Education Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Norriton, PA
National Provider Identifier
1215524780
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFESOURCE COUNSELING AND EDUCATION CENTER, LLC
Practice address
2605 Dekalb Pike
East Norriton, PA 19401-1818
Phone
(267) 817-7511
NPI assigned
Dec 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Katelin McNally, MFT, MED, MS, LPCNPI 1174136923
Title
Owner
Phone
(610) 573-6177

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2605 Dekalb Pike
East Norriton, PA 19401-1818

Mailing address

2605 Dekalb Pike
East Norriton, PA 19401-1818
Phone (267) 817-7511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@lifesourcecounseling.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1215524780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011818",
            "telephone_number": "267-817-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011818",
            "telephone_number": "267-817-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESOURCE COUNSELING AND EDUCATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "KATELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-573-6177",
        "authorized_official_credential": "MFT, MED, MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lifesourcecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email for bussiness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2605 Dekalb Pike",
            "city": "East Norriton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194011818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.