Organization Active NPI

New Lifescape Counseling, LLC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1427745751
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW LIFESCAPE COUNSELING, LLC
Practice address
5330 Air Port Rd NW
Roanoke, VA 24012
Phone
(540) 309-6049
Fax
(540) 779-7839
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Mr. Stephen Charles Thomas, LPCNPI 1982316808
Title
Owner
Phone
(540) 709-9899

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5330 Air Port Rd NW
Roanoke, VA 24012

Mailing address

296 Nelson St
Vinton, VA 24179-2203
Phone (540) 330-9604

Other identifiers 2

IdentifierTypeStateIssuer
1982316808MedicaidVA
1982316808OtherVAANTHEM, AETNA CIGNA, HUMANA, UNITED HEALTHCARE

National Provider Directory

National Provider Directory

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": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1427745751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 NELSON ST",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792203",
            "telephone_number": "540-330-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 AIR PORT RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012",
            "telephone_number": "540-309-6049",
            "fax_number": "540-779-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFESCAPE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-709-9899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982316808",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, AETNA CIGNA, HUMANA, UNITED HEALTHCARE",
            "identifier": "1982316808",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.