Lifework Transitions, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

730 Issued in MO

Legal business name

LIFEWORK TRANSITIONS, LLC

Practice address

12401 Olive Blvd
Suite 205
Saint Louis, MO 63141-5448

Phone

(314) 477-3144

Fax

(314) 395-4044

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Sylvia Nissenboim, LCSWNPI 1295975118

Title

Owner

Phone

(314) 477-3144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Sylvia Nissenboim, LCSW

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1295975118
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1477919587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 ARTHUR PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312708",
            "telephone_number": "314-477-3144",
            "fax_number": "314-395-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-477-3144",
            "fax_number": "314-395-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORK TRANSITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "NISSENBOIM",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-477-3144",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
• Lifetime Redesign OT, PLLC
• Lifetime Support Services, LLC
• Lifevision, Inc.
• Lifewave Technology Group LLC
• Lifework, LLC
• Lift for Life Academy
• Corinne Laura Lige, B.C.O.
• Stephanie Marie Liggins
• Rebecca Sarah Light-Pearlman, PNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.