NPIMap

Organization Active NPI

Lifespan, Inc

  • Mental Health Counselor
  • Hamilton, OH
National Provider Identifier
1366410813
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFESPAN, INC
Practice address
1900 Fairgrove Ave
Hamilton, OH 45011-1966
Phone
(513) 868-3210
Fax
(513) 868-3249
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Cynthia Stever, PHD
Title
Ceo
Phone
(513) 868-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1900 Fairgrove Ave
Hamilton, OH 45011-1966

Mailing address

1900 Fairgrove Ave
Hamilton, OH 45011-1966
Phone (513) 868-3210

National Provider Directory

National Provider Directory
Tax ID family
Lifespan Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1366410813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FAIRGROVE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111966",
            "telephone_number": "513-868-3210",
            "fax_number": "513-868-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FAIRGROVE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111966",
            "telephone_number": "513-868-3210",
            "fax_number": "513-868-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "STEVER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-868-3210",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.