Active NPI
Life Transitions Inc.
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1497110944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2848
- Legal business name
- LIFE TRANSITIONS INC.
- Practice address
- 1020 Rankin St
Suite 412
Wilmington, NC 28401-3700 - Phone
- (910) 833-8624
- Fax
- (910) 833-8625
- NPI assigned
- Dec 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trina McDonald
- Title
- Ceo
- Phone
- (910) 833-8624
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2848 | NC | |
| Mental Health Counselor | 101YM0800X | 2848 | NC | Primary |
Addresses
Primary practice location
1020 Rankin St
Suite 412
Wilmington, NC 28401-3700
Mailing address
1020 Rankin St
Suite 412
Wilmington, NC 28401-3700
Phone (910) 833-8624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60083 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Life Transitions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Wilmington, NC
- NPI 1972632263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451347200000",
"number": "1497110944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 RANKIN ST",
"address_2": "SUITE 412",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013700",
"telephone_number": "910-833-8624",
"fax_number": "910-833-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 RANKIN ST",
"address_2": "SUITE 412",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013700",
"telephone_number": "910-833-8624",
"fax_number": "910-833-8625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE TRANSITIONS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "TRINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-833-8624"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2848",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60083",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.