Active NPI
Lifeway Counseling and Wellness, LLC
- Mental Health Counselor
- Broken Arrow, OK
National Provider Identifier
1235099433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIFEWAY COUNSELING AND WELLNESS, LLC
- Practice address
- 25302 E 87TH St S
Broken Arrow, OK 74014-0029 - Phone
- (918) 732-9276
- NPI assigned
- Nov 12, 2025
- 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
- Lauren Kennison, LPC
- Title
- Owner
- Phone
- (918) 720-7430
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
25302 E 87TH St S
Broken Arrow, OK 74014-0029
Mailing address
25302 E 87TH St S
Broken Arrow, OK 74014-0029
Phone (918) 732-9276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260309000760 | OK | Part B Supplier - Clinic/Group Practice | 5395228399 |
Receives reassigned benefits from 1 practitioner Practice locations: Broken Arrow, OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1762905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1235099433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25302 E 87TH ST S",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740140029",
"telephone_number": "918-732-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25302 E 87TH ST S",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740140029",
"telephone_number": "918-732-9276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEWAY COUNSELING AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "KENNISON",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-720-7430",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.