Active NPI
Lifeline Counseling Center, Inc
- Mental Health Counselor
- Coral Springs, FL
National Provider Identifier
1285872879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIFELINE COUNSELING CENTER, INC
- Practice address
- 5571 N University Dr #101
Coral Springs, FL 33067 - Phone
- (954) 544-4991
- Fax
- (954) 544-4992
- NPI assigned
- Feb 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
- Jacqueline Marie Cagney, LMFT
- Title
- Owner
- Phone
- (954) 544-4992
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH2618 | FL | |
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | SW8336 | FL | |
| Marriage & Family Therapist | 106H00000X | MT1579 | FL |
Addresses
Primary practice location
5571 N University Dr #101
Coral Springs, FL 33067
Mailing address
5571 N University Dr #101
Coral Springs, FL 33067
Phone (954) 544-4991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT1579 | Other | FL | FLORIDA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Lifeline Counseling Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Marriage & Family Therapist
- Pembroke Pines, FL
- NPI 1235544727
Networks
- HealthSun Health Plans Network
Practitioners & 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": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656374400000",
"number": "1285872879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5571 N UNIVERSITY DR #101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33067",
"telephone_number": "954-544-4991",
"fax_number": "954-544-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5571 N UNIVERSITY DR #101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33067",
"telephone_number": "954-544-4991",
"fax_number": "954-544-4992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE COUNSELING CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A",
"authorized_official_last_name": "CAGNEY",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-544-4992",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH2618",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8336",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1579",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE NUMBER",
"identifier": "MT1579",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.