Organization Active NPI

Solutions Life Coaching Services LLC

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1417341017
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOLUTIONS LIFE COACHING SERVICES LLC
Practice address
2905 Mitchellville Rd
Suite 201
Bowie, MD 20716-1385
Phone
(443) 758-0333
NPI assigned
Mar 23, 2015
Last updated
Aug 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Paige Smith
Title
Billing Manager
Phone
(301) 509-4091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MD Primary

Addresses

Primary practice location

2905 Mitchellville Rd
Suite 201
Bowie, MD 20716-1385

Mailing address

2905 Mitchellville Rd
Suite 201
Bowie, MD 20716-1385
Phone (443) 758-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618001822 DC Part B Supplier - Clinic/Group Practice 7911218805 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, VA; Bowie, MD

National Provider Directory

National Provider Directory

Locations

2905 Mitchellville Rd
Ste 201
Bowie, MD 20716
Phone (443) 758-0333

1707 Osage St
#104
Alexandria, VA 22302
Phone (443) 758-0333

6216 Old Franconia Rd
Ste B
Alexandria, VA 22310
Phone (443) 758-0333

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1417341017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "443-758-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 201",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "443-758-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS LIFE COACHING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "301-509-4091"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.