Lifeline Mental Health Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIFELINE MENTAL HEALTH SERVICES, LLC

Practice address

313 Red Feather LN
Brentwood, TN 37027-4772

Phone

(888) 996-3682

Fax

(888) 996-3682

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Croley

Title

Vice-President

Phone

(888) 996-3682

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1588824205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 RED FEATHER LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274772",
            "telephone_number": "888-996-3682",
            "fax_number": "888-996-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 RED FEATHER LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274772",
            "telephone_number": "888-996-3682",
            "fax_number": "888-996-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CROLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "888-996-3682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.