Organization Active NPI

More Life Counseling Services, LLC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1326511718
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MORE LIFE COUNSELING SERVICES, LLC
Practice address
5060 N 19TH Ave Ste 218
Phoenix, AZ 85015-3212
Phone
(602) 750-6043
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Authorized official

Name
Mrs. Kathryn D Davis-Lashley, LPC
Title
Owner
Phone
(602) 301-4647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5060 N 19TH Ave Ste 218
Phoenix, AZ 85015-3212

Mailing address

1300 S. Watson Rd. a 114 PMB 256
Buckeye, AZ 85326-0112
Phone (602) 750-6043

Other practice location 1

1413 S 237th Ln
Buckeye, AZ 85326-3616
Phone (602) 301-4647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229004627 TX Part B Supplier - Clinic/Group Practice 6507201456 Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

1300 S Watson Rd
Ste A114
Buckeye, AZ 85326

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592092800000",
    "number": "1326511718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S. WATSON RD. A 114 PMB 256",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853260112",
            "telephone_number": "602-750-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "602-750-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 S 237th Ln",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853263616",
            "country_code": "US",
            "telephone_number": "602-301-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORE LIFE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS-LASHLEY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-301-4647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.

Verify at the official NPI Registry.