Active NPI
Life Strategies Counseling, Inc.
- Adolescent and Children Mental Health Clinic/Center
- Osceola, AR
National Provider Identifier
1497907257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- LIFE STRATEGIES COUNSELING, INC.
- Practice address
- 1487 W Keiser Ave Ste 1
Osceola, AR 72370-2806 - Phone
- (870) 563-4500
- Fax
- (870) 563-4501
- NPI assigned
- Oct 10, 2008
- 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
- Javier Malave
- Title
- Ceo
- Phone
- (904) 605-4986
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
1487 W Keiser Ave Ste 1
Osceola, AR 72370-2806
Mailing address
2809 Forest Home Rd
Jonesboro, AR 72401-5320
Phone (866) 972-1268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174670526 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
1217 Stone St
Jonesboro, AR 72401
Phone (870) 934-0847
2200 E Matthews Ave
Jonesboro, AR 72401
Phone (866) 972-1268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1497907257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 FOREST HOME RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015320",
"telephone_number": "866-972-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1487 W KEISER AVE STE 1",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "723702806",
"telephone_number": "870-563-4500",
"fax_number": "870-563-4501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE STRATEGIES COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-10",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "MALAVE",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-605-4986"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174670526",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.