Organization Active NPI

Recentered Life

  • Community/Behavioral Health Agency
  • Lake Forest, CA
National Provider Identifier
1518776202
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RECENTERED LIFE
Practice address
22792 Centre Dr Ste 106
Lake Forest, CA 92630-6311
Phone
(949) 933-1931
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Nicholas Beets
Title
Director
Phone
(949) 933-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

22792 Centre Dr Ste 106
Lake Forest, CA 92630-6311

Mailing address

22792 Centre Dr Ste 106
Lake Forest, CA 92630-6311

National Provider Directory

National Provider Directory

Locations

22792 Centre Dr
Ste 106
Lake Forest, CA 92630
Phone (949) 933-1931

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1518776202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22792 CENTRE DR STE 106",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22792 CENTRE DR STE 106",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306311",
            "telephone_number": "949-933-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECENTERED LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BEETS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-933-1931"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.