NPIMap

Organization Active NPI

Life Counseling & Consulting, LLC

  • Mental Health Counselor
  • Appleton, WI
National Provider Identifier
1295373843
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE COUNSELING & CONSULTING, LLC
Practice address
101 W Edison Avenue
Suite 117
Appleton, WI 54915-1930
Phone
(920) 931-4229
Fax
(920) 706-1477
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Mr. Jim Franson, LPC, CSAC, ICSNPI 1770875221
Title
Clinical Owner
Phone
(920) 931-4229

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

101 W Edison Avenue
Suite 117
Appleton, WI 54915-1930

Mailing address

2807 E Lourdes Drive
Appleton, WI 54915-3914
Phone (920) 931-4229

Other identifiers 1

IdentifierTypeStateIssuer
100016657MedicaidWI

National Provider Directory

National Provider Directory

Locations

101 W Edison Ave
Ste 117
Appleton, WI 54915
Phone (920) 931-4229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1295373843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 E LOURDES DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153914",
            "telephone_number": "920-931-4229",
            "fax_number": "920-706-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W EDISON AVENUE",
            "address_2": "SUITE 117",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151930",
            "telephone_number": "920-931-4229",
            "fax_number": "920-706-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "FRANSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CLINICAL OWNER",
        "authorized_official_telephone_number": "920-931-4229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016657",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.