NPIMap

Organization Active NPI

Good Life Counseling & Support LLC

  • Mental Health Counselor
  • Atkinson, NE
National Provider Identifier
1487190211
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GOOD LIFE COUNSELING & SUPPORT LLC
Practice address
118 E State St
Atkinson, NE 68713-4537
Phone
(402) 731-3044
Fax
(402) 371-9643
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD LIFE COUNSELING & SUPPORT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Laurie A Millard, LIMHPNPI 1104832393
Title
Program Director
Phone
(402) 731-3044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

118 E State St
Atkinson, NE 68713-4537

Mailing address

PO Box 2315
200 N. 34TH St.
Norfolk, NE 68702-2315
Phone (402) 371-3044

National Provider Directory

National Provider Directory
Tax ID family
Good Life Support LLC4 organizations share this tax ID, including this one
Part of
Good Life Support LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1487190211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2315",
            "address_2": "200 N. 34TH ST.",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687022315",
            "telephone_number": "402-371-3044",
            "fax_number": "402-371-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E STATE ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134537",
            "telephone_number": "402-731-3044",
            "fax_number": "402-371-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE COUNSELING & SUPPORT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD LIFE COUNSELING & SUPPORT LLC",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "402-731-3044",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkinson, NE

Sources for this page

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