Active NPI
Life Designs
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1306104732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12275
- Legal business name
- LIFE DESIGNS
- Practice address
- 400 N Loop 1604 E
Suite 175
San Antonio, TX 78232-1258 - Phone
- (210) 632-4147
- Fax
- (210) 545-4495
- NPI assigned
- Apr 23, 2012
- 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
- Diane M Cantrell, LPC-S
- Title
- Owner
- Phone
- (210) 632-4147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12275 | TX | Primary |
Addresses
Primary practice location
400 N Loop 1604 E
Suite 175
San Antonio, TX 78232-1258
Mailing address
400 N Loop 1604 E
Suite 175
San Antonio, TX 78232-1258
Phone (210) 632-4147
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121917208 | Medicaid | TX | |
| 11864139 | Other | TX | CAQH |
| 121917208 | Other | TX | TPI NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335139200000",
"number": "1306104732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N LOOP 1604 E",
"address_2": "SUITE 175",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321258",
"telephone_number": "210-632-4147",
"fax_number": "210-545-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N LOOP 1604 E",
"address_2": "SUITE 175",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321258",
"telephone_number": "210-632-4147",
"fax_number": "210-545-4495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE DESIGNS",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-632-4147",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121917208",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11864139",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI NUMBER",
"identifier": "121917208",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Life Balance Nutrition LLC
- Life Begins Anew Counseling and Consulting
- Life Changing Sleep LLC (LC Sleep)
- Life Choices Medical Clinic
- Life Choices Medical Clinic
- Life Fulfillment and Wellness LLC
- Life in Praxis PLLC
- Life Savers of Texas
- Life Skills Therapy Center, LLC
- Life Smiles Unlimited, LP (Hill Country Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.