Active NPI
Lifes Journey Counseling Services
- Clinical Social Worker
- Saint Joseph, MO
National Provider Identifier
1528352176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001347
- 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, 2011
- 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
- Ms. Rennie Chastain-Peppars, MSW LCSW
- Title
- Owner
- Phone
- (816) 262-4494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36358018 | Other | BCBS | |
| 493517619 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Saint Joseph, MO
- NPI 1306842471
-
- Clinical Social Worker
- Saint Joseph, MO
- NPI 1457443731
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.