Organization Active NPI

Best Life Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Byron, IL
National Provider Identifier
1457116162
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BEST LIFE THERAPY PLLC
Practice address
6655 N Alpine Dr
Byron, IL 61010-9326
Phone
(779) 348-3493
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Raissa Baxter, LCSW
Title
Owner/LCSW
Phone
(779) 348-3493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6655 N Alpine Dr
Byron, IL 61010-9326

Mailing address

6655 N Alpine Dr
Byron, IL 61010-9326
Phone (779) 348-3493

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1457116162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 N ALPINE DR",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610109326",
            "telephone_number": "779-348-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 N ALPINE DR",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610109326",
            "telephone_number": "779-348-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RAISSA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "779-348-3493",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.