Active NPI
Life Counseing Center, Inc
- Case Management Agency
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LIFE COUNSEING CENTER, INC
- Practice address
- 112 12TH Ave Rd
Nampa, ID 83686-5011 - Phone
- (208) 465-5433
- NPI assigned
- Sep 11, 2009
- Last updated
- Sep 11, 2009
- 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
- Mr. Jeffrey D Wright, PH.D., LCPC
- Title
- Clinical Director
- Phone
- (208) 465-5433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
112 12TH Ave Rd
Nampa, ID 83686-5011
Mailing address
112 12TH Ave Rd
Nampa, ID 83686-5011
Phone (208) 465-5433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808318000 | Medicaid | ID | |
| 808445101 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- Life Counseling Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Nampa, ID
- NPI 1841206604
-
- Community/Behavioral Health Agency
- Nampa, ID
- NPI 1144636747
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Nampa, ID
- NPI 1043370141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252627200000",
"number": "1558694372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865011",
"telephone_number": "208-465-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865011",
"telephone_number": "208-465-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE COUNSEING CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "208-465-5433",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PH.D., LCPC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808318000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808445101",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.