Lifeline Counseling Center LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2071 Issued in OH

Legal business name

LIFELINE COUNSELING CENTER LLC

Practice address

4212 State Route 306
Suite 306
Willoughby, OH 44094-9258

Phone

(440) 942-0100

Fax

(877) 581-3908

NPI assigned

Jul 17, 2006

Last updated

Oct 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Wilson Davidson, PH.D.NPI 1598753295

Title

Director

Phone

(440) 942-0100

Specialties & licenses 1

Addresses

Other names 1

• James W. & Nancy L. Davidson Former legal business name

Locations

Practitioners 1

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.

• James W. Davidson, PHD

  • Clinical Psychologist
  • Willoughby, OH
  • NPI 1598753295
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318118400000",
    "number": "1336166040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "SUITE 306",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949258",
            "telephone_number": "440-942-0100",
            "fax_number": "877-581-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "SUITE 306",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949258",
            "telephone_number": "440-942-0100",
            "fax_number": "877-581-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-10-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-942-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James W. & Nancy L. Davidson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Morris W Levinsohn, M.D.
• Jennifer Lewis
• Julie Anna Lewis, PA-C
• Manda Lewis
• Todd A Lewis, AA
• Michael J Ligas, SLP
• James Arthur Liggett Jr., DO
• Nina Marie Lipuma, QMHS
• Angeline Lee Lisson
• Liv Consulting and Services LLC (Liv)

• Clinical Psychologist in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2011; 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.