Organization Active NPI

Lifes Journey Counseling Services

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1528352176
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001347 Issued in MO
Legal business name
LIFES JOURNEY COUNSELING SERVICES
Practice address
1724 8TH Ave
Saint Joseph, MO 64505-1811
Phone
(816) 262-4494
Fax
(816) 364-4737
NPI assigned
May 31, 2011
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Ms. Rennie Chastain-Peppars, MSW LCSW
Title
Owner
Phone
(816) 262-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 001347 MO Primary

Addresses

Primary practice location

1724 8TH Ave
Saint Joseph, MO 64505-1811

Mailing address

1724 8TH Ave
Saint Joseph, MO 64505-1811
Phone (816) 262-4494

Other identifiers 2

IdentifierTypeStateIssuer
36358018OtherBCBS
493517619MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000613 MO Part B Supplier - Clinic/Group Practice 7517129042 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Joseph, MO

National Provider Directory

National Provider Directory

Locations

2031 N 36th St
Ste B
Saint Joseph, MO 64506
Phone (816) 262-4494

3120 Karnes Rd
Ste E
Saint Joseph, MO 64506
Phone (816) 262-4494

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": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1528352176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 8TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645051811",
            "telephone_number": "816-262-4494",
            "fax_number": "816-364-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 8TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645051811",
            "telephone_number": "816-262-4494",
            "fax_number": "816-364-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES JOURNEY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN-PEPPARS",
        "authorized_official_first_name": "RENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-262-4494",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36358018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493517619",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.