Organization Active NPI

Life Skills Training and Educational Programs, Inc.

  • Case Manager/Care Coordinator
  • Sacramento, CA
National Provider Identifier
1285059790
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.
Practice address
3247 Ramos Cir
Sacramento, CA 95827-2501
Phone
(916) 965-0110
Fax
(916) 965-0102
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Beth Southorn
Title
Executive Director
Phone
(916) 965-0110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

3247 Ramos Cir
Sacramento, CA 95827-2501

Mailing address

3247 Ramos Cir
Sacramento, CA 95827-2501
Phone (916) 965-0110

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Training and Educational Programs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3247 Ramos Cir
Sacramento, CA 95827
Phone (916) 917-7210

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1285059790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 RAMOS CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272501",
            "telephone_number": "916-965-0110",
            "fax_number": "916-965-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 RAMOS CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272501",
            "telephone_number": "916-965-0110",
            "fax_number": "916-965-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SOUTHORN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-965-0110"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.