Organization Active NPI

Life Solutions Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Salisbury, NC
National Provider Identifier
1497401418
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE SOLUTIONS COUNSELING SERVICES PLLC
Practice address
410 Oak Brook Dr
Salisbury, NC 28146-6334
Phone
(704) 245-5109
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mr. Ronnie GloverNPI 1861779894
Title
Ceo
Phone
(704) 245-5109

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

410 Oak Brook Dr
Salisbury, NC 28146-6334

Mailing address

410 Oak Brook Dr
Salisbury, NC 28146-6334
Phone (704) 245-5109

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL athenahealth.com Direct
CONNECT URL Athenahealth Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421000209 NC Part B Supplier - Clinic/Group Practice 9032506019 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, NC

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25842/brand/1/csg/1/fhir/r4

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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1497401418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 OAK BROOK DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466334",
            "telephone_number": "704-245-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 OAK BROOK DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466334",
            "telephone_number": "704-245-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-245-5109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Electronic health record keeping software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 Oak Brook Dr",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281466334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athenahealth",
            "affiliation": "N",
            "endpointDescription": "subscription",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 Oak Brook Dr",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281466334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.