Organization Active NPI

Life Skills Awareness

  • Community/Behavioral Health Agency
  • Victorville, CA
National Provider Identifier
1407365430
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE SKILLS AWARENESS
Practice address
15353 Bonanza Rd Ste 2
Victorville, CA 92392-2465
Phone
(760) 552-4440
Fax
(760) 657-2408
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Authorized official

Name
Ms. Terri R Thomas, LPCC
Title
President/LPCC
Phone
(760) 949-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15353 Bonanza Rd Ste 2
Victorville, CA 92392-2465

Mailing address

15353 Bonanza Rd Ste 2
Victorville, CA 92392-2465
Phone (760) 552-4440

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Awareness2 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.

Locations

15353 Bonanza Rd
Ste 2
Victorville, CA 92392
Phone (760) 552-4440

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": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1407365430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15353 BONANZA RD STE 2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922465",
            "telephone_number": "760-552-4440",
            "fax_number": "760-657-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15353 BONANZA RD STE 2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922465",
            "telephone_number": "760-552-4440",
            "fax_number": "760-657-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS AWARENESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/LPCC",
        "authorized_official_telephone_number": "760-949-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.