Organization Active NPI

Life Healing Counseling

  • Adult Mental Health Clinic/Center
  • Plano, TX
National Provider Identifier
1376038786
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
75372 Issued in TX
Legal business name
LIFE HEALING COUNSELING
Practice address
400 Chisholm PL Ste 114
Plano, TX 75075-6957
Phone
(302) 497-5023
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Tyler James, LPC, MANPI 1821583238
Title
President
Phone
(972) 415-9163

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 75372 TX Primary

Addresses

Primary practice location

400 Chisholm PL Ste 114
Plano, TX 75075-6957

Mailing address

300 Legacy Dr Apt 2424
Plano, TX 75023-2329
Phone (972) 415-9163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724002574 TX Part B Supplier - Clinic/Group Practice 8022525161 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

550 S Watters Rd
Ste 261
Allen, TX 75013
Phone (302) 497-5023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1376038786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LEGACY DR APT 2424",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232329",
            "telephone_number": "972-415-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 114",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756957",
            "telephone_number": "302-497-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-415-9163",
        "authorized_official_credential": "LPC, MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "75372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.